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Br J Ophthalmol 84:92-97 doi:10.1136/bjo.84.1.92
  • Original Article
    • Laboratory science

Sponge delivery variables and tissue levels of 5-fluorouracil

Table 1

Summary of application techniques of intraoperative antimetabolites

Study MMC/ 5-FU Sponge Size Stated Sponge make specified Application duration Application technique notes
Cohen31 MMC 2×5 mm Cellulose 2.5 minutes Excess liquid mopped up with second sponge
Lamping2 MMC No Weck 2.5 minutes
Smith32 5-FU No Cellulose 5 minutes
Mora33 5-FU No Weck or instrument wipe 5 minutes
Madhavan25 MMC No No 1-3 minutes Concentration varied 0.2–0.4 mg/ml
Dreyer34 MMC No Gelfoam, Gelatin 5 minutes
Greenfield35 MMC Surgical spear Weck 5 minutes
Campagna28 MMC No Weck 3.5 or 5 minutes Time depends on surgeon
Mietz18 MMC 4×5×1 mm Geuder 3-5 minutes MMC added to dry sponge after sponge placed on eye
Joos36 MMC No Alcon, Cellulose 5 minutes
Munden24 MMC No Cellulose 3.5 or 5 minutes
Lederer26 MMC 4×2×1 mm Cellulose 2–5 minutes Sponge irrigated with saline during application
Kupin37 MMC 2×3×7 mm Weck 3 minutes size when wet
Lachkar38 5-FU 4.5×4.5 mm No 5 minutes
Shin15 MMC 2×3×7 mm Cellulose 1, 3, 5 minutes Size when wet. Comparison of application times
Costa39 MMC 3×2 mm Weck-Cel 3 minutes
Megevand11 MMC 4.5×4.5 mm Surgical sponge 2 or 5 mins
Chen17 MMC No Gelfoam 5 minutes More than one piece of sponge used. Pieces replaced every minute
Kitazawa16 MMC No Spongel 5 minutes 0.2 or 0.02 mg/ml used
Kitazawa40 MMC No Spongel 5 minutes
Zacharia7 MMC No Weck-cell or Mentor O & O 3.5–7 minutes Either 15 or 250 ml of irrigation applied
Robin13 MMC No Cellulose 4 minutes Sponge replaced after 2 minutes

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