Related Experiment Video
Updated: Aug 3, 2026

12:17
Construction and Implantation of a Microinfusion System for Sustained Delivery of Neuroactive Agents.
Published on: March 18, 2008
The Molteno long-tube implant
Summary
For open-angle glaucoma cases where trabeculectomy may fail, the Molteno long-tube implant is the preferred surgical choice. This method offers a viable alternative for complex glaucoma management.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Glaucoma Research
Background:
- Trabeculectomy is a common surgical treatment for open-angle glaucoma.
- Certain cases of open-angle glaucoma have a high risk of unsuccessful trabeculectomy.
- Alternative surgical strategies are needed for complex glaucoma cases.
Purpose of the Study:
- To evaluate the efficacy of the Molteno long-tube implant as a primary surgical treatment.
- To present the rationale and surgical technique for the Molteno implant.
- To identify suitable candidates for this alternative glaucoma surgery.
Main Methods:
- Review of surgical outcomes for patients with predicted trabeculectomy failure.
- Detailed description of the Molteno long-tube implant surgical procedure.
- Discussion of the theoretical basis for the implant's effectiveness.
Main Results:
- The Molteno long-tube implant is identified as the current method of choice.
- The study provides a rationale supporting its selection.
- The surgical technique is thoroughly described for procedural understanding.
Conclusions:
- The Molteno long-tube implant is a recommended surgical option for open-angle glaucoma.
- It serves as a viable alternative when trabeculectomy is expected to fail.
- Further understanding of the technique can aid surgeons in complex cases.

