title: Molteno implant surgery in uncontrolled glaucoma.
abstract: Molteno implant surgery was performed on 33 eyes of 29 patients with complicated and uncontrolled glaucoma. Average preoperative IOP was 34.0 +/- 8.8 mmHg. After a mean postoperative follow-up period of 18.3 months the IOP was 15.8 +/- 8.3 mmHg. Three patients had an IOP over 22 mmHg. Overall, success rate was 73% with IOP and medication as criteria. In 75% of eyes visual acuity improved or remained within two lines of the preoperative value. The highest success rate was 83% (10 of 12 eyes) in congenital and uveitic glaucoma when both IOP, medication and visual acuity were taken into account. At the end of the study 52% of eyes were controlled without medication. Complications included transient hyphema (21%), flat anterior chamber with hypotony, with or without choroidal detachment (12%), tube touch to lens or cornea (9%), and tube block with vitreous (3%).
authors.affiliation: Department of Ophthalmology, University of Oulu, Finland.
authors.forename: P J
authors.initials: PJ
authors.lastname: Airaksinen
authors.forename: P
authors.initials: P
authors.lastname: Aisala
authors.forename: A
authors.initials: A
authors.lastname: Tuulonen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000151:congenital / Q000188:drug therapy / Q000601:surgery*; D015355:Glaucoma, Neovascular / Q000188:drug therapy / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions / Q000627:therapeutic use; D011183:Postoperative Complications; D011379:Prognosis; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D014605:Uveitis / Q000188:drug therapy / Q000601:surgery; D014792:Visual Acuity
chemical_list: D009883:Ophthalmic Solutions; D012826:Silicone Elastomers