The influence of mitomycin C concentration on the outcome of trabeculectomy in uveitic glaucoma

Int Ophthalmol. 2018 Dec;38(6):2371-2379. doi: 10.1007/s10792-017-0737-6. Epub 2017 Oct 14.

Abstract

Purpose: To evaluate the influence of mitomycin C (MMC) concentration on the outcome of trabeculectomy in uveitic glaucoma.

Methods: Retrospective comparative study included 50 patients who underwent MMC-enhanced trabeculectomy for uncontrolled uveitic glaucoma. Patients were divided into two groups based on the concentration of MMC used during trabeculectomy (high [0.04%] or low [0.02%]). The main outcome measures were: the intraocular pressure (IOP), the number of antiglaucoma medications, the need for further glaucoma surgeries, and trabeculectomy success.

Results: There were no differences in the IOP nor antiglaucoma medications. The success rates were 76.0 and 68.0%, while the failure rates were 24.0 and 32.0% in the 0.02 and 0.04% MMC groups, respectively.

Conclusion: Trabeculectomy augmented with low (0.02%) MMC concentration seems to have comparable outcomes in uveitic glaucoma compared with high (0.04%) concentration.

Keywords: Glaucoma; Mitomycin C; Outcome; Trabeculectomy; Uveitis.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Alkylating Agents / administration & dosage*
  • Antihypertensive Agents / therapeutic use
  • Conjunctiva / drug effects
  • Female
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Intraocular Pressure / physiology
  • Male
  • Mitomycin / administration & dosage*
  • Retrospective Studies
  • Tenon Capsule / drug effects
  • Tonometry, Ocular
  • Trabeculectomy*
  • Treatment Outcome
  • Uveitis / physiopathology
  • Uveitis / surgery*
  • Visual Acuity / physiology
  • Young Adult

Substances

  • Alkylating Agents
  • Antihypertensive Agents
  • Mitomycin