© 2004 BMJ Publishing Group Ltd
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Mitomycin C for pterygium: long term evaluation
Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel
Correspondence to:
Correspondence to:
Professor Dr J Frucht-Pery
Department of Ophthalmology, Hadassah University Hospital, POB 12000, 91120 Jerusalem, Israel; fruchtpery{at}md.huji.ac.il
Aim: To evaluate long term complications after pterygium excision with mitomycin C (MMC) application.
Design: Prospective non-comparative interventional case series.
Participants: Ninety nine patients who underwent pterygium surgery and participated in a controlled study for efficacy of MMC for pterygium surgery between 1989 and 1994.
Methods: Patients who were located and agreed to come for examination underwent a complete eye examination. The bare sclera area, in particular, was examined for possible complications. The main outcome measures were anatomical findings in area of MMC application.
Results: Forty three eyes of 43 patients were examined. Sixty three per cent of patients had pterygium surgery with intraoperative application of 0.02% MMC for 5 minutes and 37% of patients received MMC 1% or 2% drops four times daily for 2 weeks postoperatively. In three patients, pterygium recurred within 18 months. The only complication was mild conjunctival avascularity in areas of pterygium excision in 30% of patients.
Conclusion: Long term evaluation revealed that the use of MMC in pterygium surgery is safe, but for a strict selection of patients, controlled use of MMC and long term follow up are required.
Abbreviations: MMC, mitomycin C
Keywords: Mitomycin C; pterygium
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Br. J. Ophthalmol. 2004 88: 1357.
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