[Implantation of the molteno tube for refractory glaucoma following penetrating keratoplasty].
PURPOSE: To assess the surgical effectiveness of the molteno tube implantation in glaucoma secondary to penetrating keratoplasty. METHODS: 9 eyes in critical condition with glaucoma secondary to corneal graft surgery, whose intraocular pressures (IOP) have previously failed to respond to glaucoma medication, were undergone Molteno tube implantation. RESULTS: IOPs ranged from 0.8-2.8 kPa (1 kPa = 7.5 mmHg) were obtained in 7 eyes, the success rate accounted for 7/9, 2 eyes still required installation of beta-blocker, the graft rejection occurred in one eye and was remedied with medical treatment, the graft remained half-transparent in one eye. Visual acuity improved in 4 eyes, stayed the same in 4 eyes and was worse in one eye. The best corrected visual acuity over 0.05 was recorded in 4 eyes. CONCLUSION: Moltemo tube implantation is a rational and effective method for preserving a certain level of visual acuity in patients with glaucoma following penetrating keratoplasty.