OBJECTIVE To describe the long-term outcomes of cases of neovascular glaucoma drained by Molteno implants. METHODS A prospective study of 145 eyes (130 patients) followed up for a mean of 3.3 years (range, 0.02 year [5 days] to 18.1 years) in the province of Otago, New Zealand, from 1979 to 2002. RESULTS Insertion of a Molteno implant controlled the intraocular pressure at 21 mm Hg or less ...

Severe glaucoma was controlled in all 13 cases following insertion of a Molteno drain in a single stage procedure. One eye required a repeat operation. A modified technique to minimise early postoperative hypotony and prevent flat anterior chambers is described.

The tissue reaction to a functioning Molteno implant has been studied by light microscopy and by scanning and transmission electron microscopy. The material was obtained from an aphakic 83-year-old human eye which required enucleation because of intractable bullous keratopathy, despite well controlled intraocular pressure. The tissue response around the silicone rubber tube was that of simple f...

OBJECTIVE To evaluate the efficacy of the 175-mm2 Molteno3 implant in patients with nonneovascular glaucoma. METHODS A hospital-based, retrospective historical control comparative case series comparing results in the first 87 eyes to receive the 175-mm(2) Molteno3 implant with those in a control group of 115 eyes receiving the 274-mm(2) double-plate Molteno implant. RESULTS Success was defi...

lAddy DP. When not to do a lumbar puncture. Arch Dis Child 1987 ;62:873-5. 2 Donald PR, Burger PJ, Becker WB. Paediatric meningitis in the Western Cape. A three year hospital-based prospective study. S Afr Med J 1986;70:391-5. 3Deeny JE, Walker MJI Kibel MA, Molteno CD. Arens LJ. Tuberculous meningitis in children in the Western Cape. Epidemiology and outcome. S Afr Med J 1985;68:75-8. 4Naughte...

AIM To compare the intermediate-term efficacy of a large surface area Baerveldt 350 mm2 glaucoma drainage device (GDD) with medium surface area implants (Baerveldt 250 mm2 and Molteno 3, 230, or 245 mm2). DESIGN This is a retrospective, nonrandomized comparative trial. MATERIALS AND METHODS A total of 94 eyes of 94 patients of mixed glaucoma diagnoses without any prior glaucoma surgical pro...