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Molteno Developments in Traditional Outflow Implants

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Surgical Innovations in Glaucoma

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Abstract

The chapter will review the development of the Molteno glaucoma implant. Included in the review will be:

  • The historical progression of changes in design, describing the reasons for the modifications, as outlined by Molteno

  • Important aspects relating to implant material, shape, and size

  • The development of procedures designed to overcome hypotony and bleb fibrosis, as well as the management of different stages of bleb development

  • Modifications introduced by other ophthalmologists to facilitate additional aspects of difficulties that had arisen with the implant

  • The newer long-tube implants, as regards their development in relation to the Molteno implant

  • The bleb as described in detail by Molteno and methods devised to improve bleb function including the role of cytokines

  • What has been learned in 45 years since the introduction of the original Molteno implant and how the use of glaucoma implants is viewed presently

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Author information

Authors and Affiliations

  1. Ophthalmology, SUNY, Downstate University Hospital, 161 Atlantic Ave, Brooklyn, 11201, NY, USA

    Jeffrey Freedman MBBCh, FRCS (Edin), FCS (SA)

Authors
  1. Jeffrey Freedman MBBCh, FRCS (Edin), FCS (SA)
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Corresponding author

Correspondence to Jeffrey Freedman MBBCh, FRCS (Edin), FCS (SA) .

Editor information

Editors and Affiliations

  1. Department of Surgery, Rocky Vista University, Parker, CO, USA

    John R. Samples MD

  2. Western Glaucoma Foundation, Portland, OR, USA

    John R. Samples MD

  3. Cornea Consultants of Colorado, Littleton, CO, USA

    John R. Samples MD

  4. The Eye Clinic, Portland, OR, USA

    John R. Samples MD

  5. Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada

    Iqbal Ike K. Ahmed MD, FRCSC

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Freedman, J. (2014). Molteno Developments in Traditional Outflow Implants. In: Samples, J.R., Ahmed, I.I.K. (eds) Surgical Innovations in Glaucoma. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8348-9_19

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  • DOI: https://doi.org/10.1007/978-1-4614-8348-9_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8347-2

  • Online ISBN: 978-1-4614-8348-9

  • eBook Packages: MedicineMedicine (R0)

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