Trabeculectomy with mitomycin C in glaucoma associated with uveitis

Ophthalmic Surg. 1994 Sep-Oct;25(9):616-20.

Abstract

Twenty-four trabeculectomies performed in 24 patients for control of uveitic glaucoma were retrospectively evaluated to analyze the effect of intraoperative application of mitomycin C (MMC) on the short-term outcome of trabeculectomy for glaucoma associated with uveitis. Success rates, postoperative levels of intraocular pressure (IOP), and complications were studied. After a mean follow up of 9.87 months (range, 3 to 27 months), 18 eyes (75%) achieved an IOP of 21 mm Hg or less without antiglaucoma medications. The same IOP level with one antiglaucoma medication was achieved in four eyes (16.6%). Statistical analysis demonstrated a significant reduction in IOP postoperatively during the period studied (P = .0001). Complications observed included exacerbation of the uveitis (12.5%), choroidal detachment (12.5%), hypotony (8.3%), postoperative shallow anterior chamber (4.2%), wound leak (4.2%), hyphema (4.2%), and macular edema (4.2%). The results of this retrospective and uncontrolled study suggest that intraoperative application of MMC may be a good option for enhancement of short-term trabeculectomy success rates in cases of uveitic glaucoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Female
  • Glaucoma / drug therapy*
  • Glaucoma / etiology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure
  • Intraoperative Care
  • Male
  • Middle Aged
  • Mitomycin / administration & dosage*
  • Postoperative Complications
  • Retrospective Studies
  • Trabeculectomy*
  • Treatment Outcome
  • Uveitis / complications*

Substances

  • Mitomycin