Pars plana Molteno implantation in complicated inflammatory glaucoma

We retrospectively studied pars plana Molteno implantation in seven patients who had previously undergone multiple attempts, both medical and surgical, to control intraocular pressure (IOP), to no avail. In an effort to avoid further anterior chamber complications, a Molteno implant was inserted through the superior temporal vitrectomy port, following a complete pars plana vitrectomy. Acuity decreased in two of the seven patients due to preexisting conditions and one patient lost vision. Preoperative IOPs ranged from 29 to 57 mm Hg (mean 41 mm Hg) and postoperative IOPs ranged from 7 to 20 mm Hg (mean 12 mm Hg).