Needle Revision on Failed Filtering Blebs Using Mitomycin C
Journal of the Korean Ophthalmological Society
;
: 1551-1558, 2003.
Article
in Korean
| WPRIM
| ID: wpr-20357
ABSTRACT
PURPOSE:
To determine the success rate and complications of Mitomycin C (MMC) augmented needle revision on failed filtering blebs.METHODS:
We retrospectively investigated the records of 30 patients (32 eyes) who had undergone needle revision with MMC on failed filtering blebs. A mixture of 0.02 ml of MMC (0.4 mg/ml) and 0.02 ml of 2% lidocaine (20 mg/ml) was injected subconjunctivally. 5 minutes later, needle revision was done with bented 30 gauge needle.RESULTS:
The mean Intraocular pressure(IOP) decreased from 28.1+/-9.4 mm Hg before surgery to 14.7+/-6.2 mmHg at the last follow-up. The mean follow-up period after the last needle revision was 23.5+/-19.4 months. In 27 eyes (84.4%), the last IOP was less than or equal to 18 mmHg. Serious complications were not found.CONCLUSIONS:
MMC augmented needle revision appears to be an effective way to revive failed filtration blebs. The incidence of complications compares favorably to that of other glaucoma related surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Glaucoma
/
Incidence
/
Retrospective Studies
/
Follow-Up Studies
/
Blister
/
Mitomycin
/
Filtration
/
Lidocaine
/
Needles
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2003
Type:
Article
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