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Mitomycin C aqueous humor concentration after photorefractive keratectomy: an experimental study
George D Kymionis1, Vasilios F Diakonis, Sophia I Panagopoulou
1Institute of Vision and Optics, Department of Medicine, University of Crete, Medical School, Heraklion, Crete - Greece. kymionis@med.uoc.gr
Purpose:
To evaluate mitomycin C (MMC) aqueous humor concentration after photorefractive keratectomy (PRK).
Methods:
In this experimental study, twenty-four eyes of 12 male pigmented rabbits were divided into 4 groups and studied at the Institute of Vision and Optics, Department of Medicine, University of Crete, Greece. Eyes in groups 1 and 2 underwent PRK to correct -5 diopters (D) in a 6-mm optical zone, while sponges soaked with 0.02% MMC were applied on the exposed corneal stroma for 60 and 120 seconds, respectively. Similarly, eyes in groups 3 and 4 underwent PRK to correct -10 D in a 6-mm optical zone, while sponges soaked with 0.02% MMC were applied on the exposed corneal stroma for 60 and 120 seconds, respectively. Aqueous humor was extracted from all rabbit eyes 10 minutes after MMC application and high-performance liquid chromatography was performed immediately to detect and quantify MMC levels.
Results:
The mean aqueous humor concentration of MMC was 0.23+/-0.03 microg/mL, 0.39+/-0.05 microg/mL, 0.28+/-0.04 microg/mL, and 0.52+/-0.16 microg/mL in groups 1, 2, 3, and 4, respectively. The effect of application time and correction on aqueous humor MMC concentration was significant (p<0.0001 and p=0.019), while the exposure time had a greater impact on aqueous humor MMC concentration when compared with the attempted correction.
Conclusions:
Both exposure time of MMC on the corneal stroma and the attempted correction was correlated with MMC aqueous humor concentrations.