OBJECTIVE: To relate the efficacy of Molteno third generation glaucoma implant in four glaucoma patients. METHODS: Four glaucoma patients were submitted to Molteno third generation glaucoma implant. We evaluated intraocular pressure (IOP), visual acuity (VA), biomicroscopy exam and complications until six months after surgery. RESULTS: During six months we evaluated four glaucoma patients submitted to Molteno third generation glaucoma implant. Two cases had total success, one case had relative success and one case we had to take out the implant […]

PURPOSE: the aim of the present study is to compare the intraocular pressure (IOP) and visual acuity (VA) after combined surgery: phacoemulsification with non penetrating deep sclerectomy and phacoemulsification with trabeculectomy. METHODS: this is an observacional and retrospective study by chart review. We selected 148 eyes from 127 patients from Tadeu Cvintal Ophthalmolgy Institute during January 1998 thru January 2007. All patients had primary angle glaucoma and cataract. Seventy seven patients were female, 49 (59%) had phacoemulsification with non penetrating […]

OBJECTIVE: To evaluate the joined precocious complications in surgeries of mitomycin trabeculectomy, carried through in residence service-school, aiming at better perfectioning in the technique and postoperative accompaniment of the patients. METHODS: Retrospective study by means of record analysis. The patients evaluated amount sex, age and race. Was included patients with primary of angle open glaucoma and submitted the mitomycin trabeculectomy. A total of 43 patients had been analyzed, 25 were male and 18 female; 19 were black, and the age […]

An intraocular infection is the most terrible complication after a trabeculectomy, usually with significant anatomical consequences and irreversible functional impairment. The case of a 40-year-old male patient with congenital glaucoma, submitted to a trabeculectomy on both eyes at the age of 13, is presented. At the age of 32 a second trabeculectomy with mitomycin C was performed on the right eye. Eight years later he presented with an endophthalmitis in the same eye. Despite intensive local treatment and intravitreous injection, […]

Purpose: To evaluate the results of the trabeculotomy-trabeculectomy combined procedure in 12 to 50 years old patients with moderate and advanced glaucoma. Methods: Nineteen eyes of thirteen patients underwent a trabeculotomy-trabeculectomy procedure and were prospectively analyzed and followed up for 21,6 ± 7,2 (5,1 a 29,7) months. Results: IOP was reduced from 32,03 ± 10,01 (12 to 50) mmHg to 9,42 ± 3,50 (2 e 16) mmHg with the number of topical medications being reduced from 1,47 ± 1,54 (0 […]

PURPOSE: To assess comparatively the central corneal thickness (CCT), the central corneal endothelial cells density (CECD) and mean area (CECAA), of patients who underwent trabeculectomy (Trab) with or without mytomicyn C (MMC). METHODS: Prospective study. Twenty-nine eyes were divided in two groups: Trab with or without MMC. Ultrasonic pachymetry and non-contact specular microscopy were performed pre-operatively and three and six months after Trab. The mean value of the CECD and the low value of the CCT were used. RESULTS: In […]