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Mitomycin C trabeculectomy in eyes with cicatricial conjunctiva
M Honjo1, H Tanihara, M Inatani
1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Japan.
Purpose:
To demonstrate favorable outcome of mitomycin C-augmented trabeculectomy in eyes with broad cicatricial conjunctiva created by previous surgeries.
Methods:
Forty-six eyes (40 patients) with extensive conjunctival scarring that had undergone mitomycin C trabeculectomy were reviewed retrospectively.
Results:
After a mean follow-up +/- SD of 13.7 +/- 7.8 months (range, 6 to 36 months), intraocular pressure was well controlled, below or equal to 16 mm Hg and 21 mm Hg, respectively, in 33 (72%) and 44 (96%) of the 46 eyes. In all eyes, a functional filtering bleb was present during the follow-up periods.
Conclusion:
Mitomycin C trabeculectomy after dissection of conjunctival scar tissue may be useful for treating refractory glaucoma.