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A new method to prevent loss of mitomycin C soaked sponges under the conjunctiva during trabeculectomy
  1. Kenya Yuki,
  2. Daisuke Shiba,
  3. Yu Ota,
  4. Naoki Ozeki,
  5. Dogru Murat,
  6. Kazuo Tsubota
  1. Keio University School of Medicine, Department of Ophthalmology, Tokyo, Japan
  1. Correspondence to Dr Kenya Yuki, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku Tokyo, 160-8582, Japan; glaucoma.keio{at}gmail.com

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Surgically acquired foreign body is a serious complication of microscopic surgery.1 In fornix-based trabeculectomy with mitomycin C, sponges soaked with mitomycin C are placed under the conjunctival flap for 3–5 min, after which the sponges are removed with a toothed forceps. Sponges may be lost under the conjunctival flap because in fornix-based trabeculectomy, the sponges are inserted deep into the conjunctival–scleral interface. Numerous complications due to retained cellulose sponges after trabeculectomy with mitomycin C such as granulomas or conjunctival hole formation have already been reported.2 3

We used DELICOT (Cat# 63-01, American Surgical Sponges, Lynn, Massachusetts; figure 1) as a device to deliver mitomycin C to the sclera during trabeculectomy.

Figure 1

(A) DELICOT sponge tied to a cotton …

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