One hundred cases of recalcitrant glaucoma were operated with a long tube single-plate Molteno implant (LSMI). At the median follow-up of 15 months an intraocular pressure of â¤19 mm Hg was obtained in 64 of the 87 eyes (73%) which have a minimum follow-up of 6 months (secondary non-neovascular glaucomas=19; congenital glaucomas=26; secondary neovascular glaucomas=12). The interval probability (percentageÂ±standard error) of obtaining a successful result (IOPâ¤19 mmHg) was 79% (Â±13) at twelve months from surgery, and 53% (Â±24) at the eighteen month interval. The least favorable results were obtained in the secondary non-neovascular glaucomas. Complications observed included choroidal detachment (24%), tube exposure (4%), tube-endothelium contact (6%), plus band keratopathy, fibrous ingrowth, traction retinal detachment and corneal ulcers. Seventeen cases needed repeate surgery for the management of complications. In order to decrease the post-operative hypotony, we have been using a tourniquet suture around the tube at the time of implantation to occlude it temporarily and limit the outflow. Â© 1989 Kluwer Academic Publishers.
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|Titolo:||The long-tube single plate Molteno implant for the treatment of recalcitrant glaucoma|
|Data di pubblicazione:||1989|
|Appare nelle tipologie:||01.01 - Articolo su rivista|