A patient with adult onset diabetes with retinopathy (which
had been managed by retinal photocoagulation) developed neovascular
glaucoma shortly after cataract extraction at the age of 59
years. His right eye was drained by trabeculectomy, which
failed and became phthisical. Subsequently, his left eye was
drained by Molteno® Implant. Preoperatively his cornea
was cloudy and the IOP was 24-38 mmHg on timolol, epinephrine
and acetazolamide. At operation a Pressure Ridge Single Plate
Molteno® Implant (D1) was inserted for immediate drainage
to prevent further loss of vision. The operation cleared the
cornea sufficiently for additional retinal photocoagulation.
Following the operation his IOP was controlled on Timolol.
Four years later the IOP rose and was treated by further retinal
photocoagulation. At the time of his death 5 years after operation
he had useful vision with an acuity of 6/18 (20/60) and an
IOP of 12-17 mmHg. Surgeon: ACB Molteno, M.D. FACS.
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