Independent study: significant time saving with Molteno3® GDDs compared to Baerveldt® Devices - 23rd May 2019

Dr Sheybani, lead researcher in study comparing Molteno3® and Baerveldt® devices

Ophthalmologists from Missouri, USA, updated the results from their comparison of Molteno3 and Baerveldt glaucoma implant surgery at the recent AGS Annual Meeting [1,2].  The independent study is ongoing and now includes 113 cases. Key findings were:
1.      Surgical time was more than 11 minutes shorter in the Molteno3 group [1]
2.      IOP, vision change and medication use were equivalent after surgery, despite the smaller area of Molteno3 implants.

In a subsequent interview by Dr Davinder Grover, lead investigator, Dr Arsham Sheybani, added that
1.    patient comfort is better during Molteno3 surgery
2.    Molteno3 implantation requires less manipulation of the extra-ocular muscles
3.    the more pliable Molteno3 tubes require only one relieving slit (compared to two slits in the Baerveldt tube) and
4.    Molteno3 surgical time was shorter despite residents and fellows (trainees and less experienced ophthalmologists) performing many of the surgeries.

This is the first reported study comparing surgical time between Molteno3 and Baerveldt devices. Shorter surgical time is better for the patient, saves surgeon time and significantly reduces costs: one more reason to choose the advanced Molteno3 glaucoma drainage devices for patients with severe or complex glaucoma. 
 

References:
1. Maxwell W. Dixon, Joel Palko, Arsham Sheybani; Comparing the Baerveldt and Molteno Shunts for Treatment of Refractory Glaucoma. Invest. Ophthalmol. Vis. Sci. 2018;59(9):2076.  
2. Maxwell W. Dixon, Mathew S. Margolis, Joel Palko, Arsham Sheybani; Differences in Intraocular Pressure and Medication Usage between the Baerveldt and Molteno Glaucoma Drainage Devices. Poster presented at the  American Glaucoma Society 2019 Annual Meeting.

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