Volume 73, Issue 3 pp. 277-280
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Aqueous shunts: Single-plate Molteno vs ACTSEB

Dong Myung Kim

Corresponding Author

Dong Myung Kim

Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea

Department of Ophthalmology Seoul National University Hospital 28 Yeongun-Dong, Chongro-Ku Seoul 110–744, Korea. Tel: 82 (2) 760–2438. Fax: 82 (2) 741–3187.Search for more papers by this author
Key Hwan Lim

Key Hwan Lim

Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea

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Abstract

ABSTRACT A retrospective study was done to compare the results of the single-plate Molteno implant surgery with those of the anterior chamber tube shunt to an encircling band procedure in eyes with refractory glaucoma. Both Molteno implant and anterior chamber tube shunt to an encircling band are made of silicone. There were 19 eyes in the Molteno group, 17 eyes in the anterior chamber tube shunt to an encircling band group, with at least 6 months of follow-up. Preoperative intraocular pressure in the Molteno group and anterior chamber tube shunt to an encircling band group was 47.5 ± 11.4 and 46.5 ± 10.3 mmHg, respectively. Intraocular pressure at 6 months postoperatively was 20.4 ± 15.1 and 15.5 ± 10.4 mmHg, respectively. The difference in pressure reduction between the two groups was not significant statistically. Serious complication rate for 6 months was 11% and 47%, respectively.

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