OUTCOMES OF SINGLE-PLATE MOLTENO IMPLANTS IN REFRACTORY GLAUCOMA

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AMINI HEYDAR; ESLAMI Y.A.; RAZEGHINEZHAD M.R.; KHERADPAZHOUH M.

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Journal: Journal of Ophthalmic and Vision Research Year:2006 | Volume:1 | Issue:2 Page(s): 101-105

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Title

OUTCOMES OF SINGLE-PLATE MOLTENO IMPLANTS IN REFRACTORY GLAUCOMA

Author(s)

AMINI HEYDAR | ESLAMI Y.A. | RAZEGHINEZHAD M.R. | KHERADPAZHOUH M. | Issue Writer Certificate

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Abstract

Purpose: To evaluate the success rate and complications of single-plate Molteno tube implantation in patients with intractable glaucoma.Methods: We reviewed the records of patients who had undergone single-plate Molteno tube implantation from 1995 to 2000 with at least 18 months of follow up.Results: Thirty-six eyes of 35 (20 male and 15 female) patients with mean age of 29.7± 25.3 (range 3-77) years were enrolled in the study. Preoperative intraocular pressure (IOP) was 34.5±10.4 mmHg with a mean of 2.3±0.8 medications which decreased to 18.0±7.6 mmHg with 1.9±1.2 medications after 32.8±16.1 months of follow up (P<0.0001). Complete success (IOP: 7-21 mmHg without medications), incomplete success (IOP: 7-21 mmHg with medication) and total success (sum of complete and incomplete success) rates were 19.5%, 55.6%, and 75%, respectively. At final follow up, visual acuity improved ³1 line in 10 (27.8%), decreased ³1 line in 8 (22.2%) and remained unchanged in 18 (50%) eyes. Postoperative complications occurred in 20 eyes (55.6%) including encapsulated bleb in 10 eyes (27.8%), tube-iris touch in 4 (11%), flat anterior chamber in 3 (8.4%), tube-cornea touch in 2 (5.6%), and retinal detachment, tube-lens touch, and tube blockage, each in 1 (2.8%). IOP dropped to zero in one eye resulting in visual loss.Conclusion: In eyes at high risk for trabeculectomy failure, implantation of the Molteno tube can be considered as a procedure with acceptable success for control of IOP and preservation of vision. Long term follow-up is recommended to ensure timely management of the frequent complications of this procedure.

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APA: Copy

AMINI, HEYDAR, ESLAMI, Y.A., RAZEGHINEZHAD, M.R., & KHERADPAZHOUH, M.. (2006). OUTCOMES OF SINGLE-PLATE MOLTENO IMPLANTS IN REFRACTORY GLAUCOMA. JOURNAL OF OPHTHALMIC AND VISION RESEARCH, 1(2), 101-105. SID. https://sid.ir/paper/311343/en

Vancouver: Copy

AMINI HEYDAR, ESLAMI Y.A., RAZEGHINEZHAD M.R., KHERADPAZHOUH M.. OUTCOMES OF SINGLE-PLATE MOLTENO IMPLANTS IN REFRACTORY GLAUCOMA. JOURNAL OF OPHTHALMIC AND VISION RESEARCH[Internet]. 2006;1(2):101-105. Available from: https://sid.ir/paper/311343/en

IEEE: Copy

HEYDAR AMINI, Y.A. ESLAMI, M.R. RAZEGHINEZHAD, and M. KHERADPAZHOUH, “OUTCOMES OF SINGLE-PLATE MOLTENO IMPLANTS IN REFRACTORY GLAUCOMA,” JOURNAL OF OPHTHALMIC AND VISION RESEARCH, vol. 1, no. 2, pp. 101–105, 2006, [Online]. Available: https://sid.ir/paper/311343/en

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