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Bleb morphology following mitomycin-C sponge versus subconjunctival injection in deep sclerectomy for pediatric
Dania A Bamefleh1, Mohammed A Halawani1, Saad Alosaimi2
1Glaucoma Division, King Khaled Eye Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Introduction And Importance:
Congenital glaucoma poses a complex surgical challenge. Mitomycin-C (MMC) is frequently used to enhance surgical success, though the optimal method of application remains debated.
Case Presentation:
We present a pediatric case of bilateral congenital glaucoma where two different MMC application methods were used: subconjunctival injection in one eye and sponge application in the other.
Clinical Discussion:
Despite initial IOP reduction in both eyes, the eye treated with sponge application showed progressive bleb thinning and compromise. The subconjunctival injection resulted in a stable, diffuse bleb with better long-term outcomes.
Conclusion:
This case provides comparative intra-patient evidence favoring subconjunctival injection for improved bleb morphology and stability in pediatric glaucoma.
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