Single stage Molteno implant with combination internal occlusion and external ligature.
A variety of techniques have been devised to reduce postoperative hypotony following a single-stage Molteno implant procedure. Although they effectively reduce hypotony, these techniques may result in a prolonged increase of intraocular pressure (IOP). I present a technique, consisting of placement of a 5-0 nylon internal occlusion suture combined with an external polyglactin (Vicryl) ligature around the Molteno tube, to prevent both hypotony and elevated IOP after implantation.
Latina
M A
MA
Wellman Laboratories of Photomedicine, Massachusetts General Hospital, Boston 02114.
D006801:Humans; D007429:Intraocular Pressure; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000601:surgery*; D015814:Ocular Hypotension / Q000517:prevention & control; D019736:Prostheses and Implants; D013536:Suture Techniques