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Comparison of low-dose intraoperative mitomycin-C vs 5-fluorouracil in primary glaucoma surgery: a pilot study.
- Source :
-
Ophthalmic surgery and lasers [Ophthalmic Surg Lasers] 2000 Jan-Feb; Vol. 31 (1), pp. 24-30. - Publication Year :
- 2000
-
Abstract
- Background and Objective: This study was undertaken to compare the efficacy and safety of low-dose intraoperative application of mitomycin-C (MMC) with that of 5-fluorouracil (5-FU) in primary trabeculectomy.<br />Patients and Methods: A non-randomized prospective study was performed between August 1994 and November 1995. Thirty-two eyes of 16 consecutive patients who underwent trabeculectomy for uncontrolled glaucoma of various causes form the study group. The mean age was 46.8 +/- 9.9 years. The first eye received MMC (0.2, 0.4 mg/ml), fellow eye received 5-FU (50 mg/ml), for 1 minute intraoperatively. Bleb characteristics and intraocular pressure (IOP) control were analyzed. Success of surgery based on IOP control was measured by 3 different criteria: IOP less than 21 mm Hg; IOP less than 21 mm Hg with more than 30% reduction; and IOP less than 16 mm Hg with more than 30% reduction.<br />Results: Mean preoperative IOP was 31.4 +/-12.7 mm Hg in MMC group and 27.8+/- 8.8 mm Hg in 5-FU group. Mean follow-up in MMC group was 16.12 +/- 8.17 months; in 5-FU group 13.37 +/- 8.19 months. At last follow-up all 5-FU blebs were nonischemic, while 4 eyes in the MMC group showed nonischemic blebs, and 12 eyes had ischemic blebs. There was no statistically significant difference between MMC group and 5-FU group success rates with all 3 criteria. Success rates were: IOP less than 21 mm Hg; 100% in both groups; IOP less than 21 mm Hg with more than 30% reduction; MMC group 93.8%, 5-FU group 75%; less than 16 mm Hg with more than 30% reduction; MMC group 87.5%, 5-FU group 68.8%.<br />Conclusions: Low-dose intraoperative MMC and 5-FU can provide control of IOP in primary trabeculectomy, 5-FU group showed more non-ischemic blebs.
- Subjects :
- Female
Humans
Intraocular Pressure
Male
Middle Aged
Ophthalmic Solutions
Pilot Projects
Postoperative Complications pathology
Postoperative Complications prevention & control
Prospective Studies
Safety
Alkylating Agents administration & dosage
Antimetabolites administration & dosage
Fluorouracil administration & dosage
Glaucoma surgery
Intraoperative Care methods
Mitomycin administration & dosage
Trabeculectomy
Subjects
Details
- Language :
- English
- ISSN :
- 1082-3069
- Volume :
- 31
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Ophthalmic surgery and lasers
- Publication Type :
- Academic Journal
- Accession number :
- 10976557