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KMID : 0352419940130040420
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Keimyung Medical Journal
1994 Volume.13 No. 4 p.420 ~ p.425
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Three cases of Molteno Implantation in Intractable Neovascular Glaucoma
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Abstract
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Neovascular glaucoma is a relatively common and severe complication of several retinal disorders, especially diabetic retinopathy and central retinal vein occlusion.
By mechanism that are not fully understand, a fibrovascular membrane develops on the iris and in the anterior chamber angle which obstructs aqueous outflow. The preservation of vision and control of intraocular pressure in patients with
neovascular
glaucoma remains a therapeutic challenge.
We performed one-stage, single plate Molteno implant surgery in three eyes of 3 patients with uncontrolled neovascular glaucoma. Postoperative intraocular pressure were controlled under 20 mmHg in all cases. Visual acuity is unchanged in all
eyes.
The
postoperative complication included shallow anterior chamber and hypotony in all three eyes, flat chamber in one eye, and hyphema in one eye.
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KEYWORD
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