The new Molteno3® design is based on the tube and plate principle pioneered by Professor Anthony Molteno in the 1970’s and proven to be the most effective treatment for severe and complex cases of glaucoma that do not respond to hypotensive medication.

The only proven long term control of difficult Glaucoma*

• Easy to insert
• Shorter surgery time  
• Suitable for translimbal or pars plana insertion
• Single quadrant surgery
• Has a new, larger, more flexible plate available in a choice of 175mm² & 230mm²
• Safe & effective long term control of Intra-ocular pressure
• 95% success in most glaucomas
• Lowest plate profile on the market
• Unique biological valve with no moving parts
• No need for cytostatics
• Is very easy to insert reducing surgery times by up to 20%
• Produces a robust, thin walled bleb which drains very well

*Molteno: the only glaucoma drainage device followed prospectively for over 30 years.

Features of the Molteno Implant Range

Molteno Glaucoma Drainage Devices

Molteno Implants were developed for the treatment of severe and complex cases of glaucoma. The implants consist of a fine bore silicone tube opening onto the upper surface of one or more episcleral plates. The function of the tube is to deliver aqueous from within the eye onto the upper surface of the episcleral plate. The episcleral plate is firmly sutured to the sclera and covered by a thick flap of Tenon’s tissue and conjunctiva. The function of the plate is to initiate the formation of a large circular bleb which develops a specialised fibrovascular bleb lining and becomes distended by aqueous. It is this fibrovascular bleb lining which is responsible for regulating the escape of aqueous from the eye and which determines the final level of intraocular pressure (IOP) that is achieved after insertion of the implant.

Molteno Implants are the treatment of choice for severe and complex cases of glaucoma. These are cases where standard drainage procedures have failed or have a poor prognosis. They include failed trabeculectomy, buphthalmos and juvenile glaucoma, neovascular glaucoma and glaucoma secondary to uveitis, traumatic glaucoma, cataract with glaucoma and high risk cases of primary glaucoma.

Molteno3^® Implant (GL/GS)

Particularly suitable for elderly patients with reduced ciliary body function and for combined cataract and glaucoma operations.

For acute glaucomas, this implant has been superseded by the Pressure Ridge Single Plate Molteno^® Implant, which provides better control of postoperative hypotony.

GL - Single Plate 230mm²

Surface Area OF Plate	230mm2
Plate Thickness	=  0.40mm
Maximum Height of Ridge	=  1.50mm
Maximum Lenght	=16.00mm
Maximum Width	=15.00mm
Tube Internal Diameter	=  0.34mm
Tube External Diameter	=  0.64mm
Translibimal Tube Length	=17.00mm

GS - Single Plate 175mm²

Surface Area OF Plate	175mm2
Plate Thickness	=  0.40mm
Maximum Height of Ridge	=  1.50mm
Maximum Lenght	=13.60mm
Maximum Width	=14.20mm
Tube Internal Diameter	=  0.34mm
Tube External Diameter	=  0.64mm
Translibimal Tube Length	=19.00mm

 

The subsidiary ridge on this implant, when covered by Tenon’s capsule, acts as a pressure sensitive biological valve which limits the escape of aqueous from the eye and reduces postoperative hypotony.

This Molteno^® Implant is particularly suitable for neovascular glaucomas, acute glaucomas in patients with reduced ciliary body function, elderly patients and combined cataract and glaucoma procedures.

Particularly suitable for elderly patients with reduced ciliary body function and for combined cataract and glaucoma operations.

For acute glaucomas, this implant has been superseded by the Pressure Ridge Single Plate Molteno^® Implant, which provides better control of postoperative hypotony.

The subsidiary ridge on this implant, when covered by Tenon’s capsule, acts as a pressure sensitive biological valve which limits the escape of aqueous from the eye and reduces postoperative hypotony.

This Molteno^® Implant is particularly suitable for neovascular glaucomas, acute glaucomas in patients with reduced ciliary body function, elderly patients and combined cataract and glaucoma procedures.

This is a mini version (plate diameter 8mm) of the Single Plate Molteno^® Implant with a reduced radius of curvature suitable for microphthalmic eyes.

Combines the large drainage area of the Double Plate Molteno^® Implant with the subsidiary ridge for controlling postoperative hypotony. Particularly suitable for very severe glaucomas, patients with good ciliary body function, younger patients and glaucoma associated with retinal detachment. Available in left eye (DL2) and right eye (DR2) configurations.