Journal of the Korean Ophthalmological Society 2002;43(9):1664-1669.
Published online September 1, 2002.
The Effects of Needle Revision of Failed Filtering Blebs with Preoperative Mitomycin-C Application.
Jin Young Kim, Sang Hyup Lee
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. leeshpc@hyowon.pusan.ac.kr
기능없는 여과포에서 Mitomycin-C 를 전처치한 Needle Revision 의 효과
김진영 ( Jin Young Kim ) , 이상협 ( Sang Hyup Lee )
Abstract
PURPOSE
The purpose of the study is to determine the efficacy and safety of needle revision of failed filtering blebs using preoperative mitomycin C (MMC) application. METHODS: We reviewed the records of 28 patients (31 eyes) who had undergone needle revision with MMC for the treatment of failed filtering bleb. MMC (0.02 mg/ml, 0.1 ml) was injected subconjunctivally one day before needle revision. RESULTS: Postopertive mean follow-up period was 42 weeks. Twenty five eyes (80.6%) were classified as surgical success which was defined as IOP less than 21 mmHg with or without any antiglaucomatous therapy. Intraocular pressure decreased from 25.5+/-6.0 mmHg before surgery to 18.6+/-5.2 mmHg at the last follow-up (p< 0.05). No serious complication was found. CONCLUSION: Our result suggested that needle revision with the preoperative subconjunctival injetion of mitomycin-C may be an effective and safe method to revive failed filtration blebs.
Key Words: Failed filtering bleb;Mitomycin-C;Needle revision;Preoperative application


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