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Recurrent anterior uveitis after trabeculectomy with mitomycin C.
Mohammad Hamid1, Sami Pierre Moubayed, Renaud Duval
1Faculty of Medicine, University of Montreal, Montreal, Quebec.
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|December 24, 2009
Summary
Recurrent anterior uveitis can occur months after glaucoma surgery using mitomycin C. This complication should be considered in cases of persistent inflammation following trabeculectomy.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Uveitis
Background:
- Trabeculectomy with mitomycin C is a common glaucoma surgery.
- Anterior uveitis is inflammation of the iris and ciliary body.
Observation:
- Four patients developed noninfectious, recurrent anterior uveitis 1-11 months post-trabeculectomy with mitomycin C.
- These patients had no prior history of uveitis.
Findings:
- Topical and intravitreal corticosteroids managed acute inflammation.
- Two patients progressed to chronic anterior uveitis despite treatment.
Implications:
- Late-onset recurrent anterior uveitis may be a complication of trabeculectomy with mitomycin C.
- Consider this diagnosis for nonresolving blebitis post-surgery.
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