Document Detail


Mitomycin C for trabeculectomy in complicated glaucoma: preliminary results after 6 months.
MedLine Citation:
PMID:  8038686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mitomycin C (MMC) was used as a perioperative adjunct during trabeculectomy for 51 consecutive cases of complicated glaucoma. The concentration applied was 0.5 mg/ml, and the sponge positioned upon the intact sclera was left in place for 3-5 min. At a follow-up of 6 months, information on 49 eyes was obtained. Following treatment with antiglaucomatous medication, the average intraocular pressure decreased from 31.5 to 13.1 mmHg. The number of different medications required was 0.25 after 6 months as compared with 2.6 before surgery. In 16 of the 49 eyes (33%), the intraocular pressure was below 10 mmHg at follow-up. Complications included severe prolonged hypotony (n = 9), conjunctival dehiscence (n = 4), and scarring (n = 1). Vision was reduced in 5 cases by more than 2 Snellen lines. We consider MMC to be a substance that can be used in trabeculectomies where early scarring of the conjunctiva is anticipated.
Authors:
H Mietz; G K Krieglstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  German journal of ophthalmology     Volume:  3     ISSN:  0941-2921     ISO Abbreviation:  Ger J Ophthalmol     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-08-25     Completed Date:  1994-08-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206441     Medline TA:  Ger J Ophthalmol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  164-7     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Köln, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Combined Modality Therapy
Female
Follow-Up Studies
Glaucoma / drug therapy*,  etiology,  surgery*
Humans
Intraocular Pressure
Male
Middle Aged
Mitomycin / administration & dosage*
Postoperative Complications
Trabeculectomy*
Visual Acuity
Chemical
Reg. No./Substance:
50-07-7/Mitomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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