Platinum Implant in Glaucoma Surgery

Management of Uncontrolled Glaucoma With the Molteno System

“…In no case did formed vitreous occlude the tube. In 12 eyes (eyes 8,9,17,18,26,27,28,31,33,34,35,36) the peak IOP during the postoperative period of ocular hypertension was higher than it had been before operation, and in seven eyes (eyes 11,21,22,24,25,30,37) it was almost as high (excluding eye 3, in which pupillary block was the mechanism for the raised IOP). Visual acuity fell in five of these 19 eyes, compared with four of the remaining 16 (excluding eyes 14,19,20).…”

Glaucoma drainage devices; past, present, and future

“…This was followed by similar use of gold,8 tantalum,9 and platinum thread/wire 10. Results were universally poor as these and other early translimbal setons (Table 1) did not address lack of flow control and hypotony associated with full thickness (unguarded) GFS, and added a foreign body chronic inflammatory stimulus.…”

Glaucoma drainage devices: state of the art

“…In certain conditions, GDD implantation is becoming the primary operation. Indications [4], tantalum [5], a glass rod [6] and a polythene tube [7] without much success until 1969. All of these operations failed owing to excessive scar formation near the limbus, seton migration, conjunctival erosion, and so on.…”