CLINICAL SCIENCES ONLINE FIRST Long-term Results of Primary Trabeculectomies and Molteno Implants for Primary Open-Angle Glaucoma Anthony C. B. Molteno, FRCS; Tui H. Bevin, MPH; Peter Herbison, MSc; Mohd Aziz Husni, MD, MMed Objective: To describe the long-term outcomes of pri- were 96 (13%) failures (using the 21–mm Hg defini- mary trabeculectomies and primary Molteno implants per- tion of failure) in the trabeculectomy group by the final formed in cases of primary open-angle glaucoma at Dune- follow-up. The probability of IOP control at 21 mm Hg din Hospital. or less following Molteno implant insertion at 1, 2, 5, 10, 15, and 20 years was 0.98 (95% CI, 0.97-1.0), 0.97 (95% Methods: Prospective comparative case series of 718 eyes CI, 0.96-1.0), 0.96 (95% CI, 0.92-0.99), 0.96 (95% CI, 0.92- (500 patients) and 260 eyes (195 patients) that had tra- 0.99), 0.91 (95% CI, 0.81-1.00), and 0.91 (95% CI, 0.81- beculectomy and Molteno implants, respectively, at Dune- 1.00), respectively. In the Molteno implant group, there din Hospital as the first drainage operation for primary were 8 (3%) failures (using the 21–mm Hg definition open-angle glaucoma between 1976 and 2007, and fol- of failure) by the final follow-up. lowed up for a
JAMA Ophthalmology – American Medical Association
Published: Nov 1, 2011
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