PMID: 8594518Feb 1, 1996Paper

Long-term survival of Molteno glaucoma drainage devices

Ophthalmology
R P MillsM M Leen

Abstract

To evaluate the long-term outcome of the Molteno implant drainage device using survival analysis. A retrospective chart review was performed on 77 eyes of 71 patients that underwent Molteno implantation for intractable glaucoma unresponsive to conventional management from October 1984 to April 1990 at the University of Washington Eye Center and had at least 6 months of follow-up data. Success was defined as a postoperative intraocular pressure of 22 mmHg or lower with (qualified success) or without (complete success) glaucoma medications and no additional glaucoma surgery, phthisis, or loss of light perception. The median follow-up was 44 months (range, 6-107 months). Indications for Molteno implantation were aphakia/pseudophakia (n=24), neovascular glaucoma (n=20), uveitic glaucoma (n=12), failed trabeculectomy (n=9), traumatic glaucoma (n=8), and congenital glaucoma (n=4). The total success was 57% (23% complete; 34% qualified) at the last follow-up. Kaplan-Meier survival curves demonstrated a continuous and relatively linear attrition of success over at least 5 1/2 postoperative years. The uveitic glaucoma group had the highest success rate of 75%. Eyes with neovascular glaucoma failed significantly more frequently than thos...Continue Reading

References

Jan 1, 1986·Ophthalmology·K A LampingS I Afran
Sep 1, 1969·The British Journal of Ophthalmology·A C Molteno

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Citations

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