The Efficacy and Safety of Mitomycin C and Releasable Suture in Glaucoma Triple Procedure.

Park, Hyoung Joon; Yang, Kun Jin; Park, Yeoung Geol

Original Article

Journal of the Korean Ophthalmological Society 2001;42(4):607-613.
Published online April 1, 2001.

The Efficacy and Safety of Mitomycin C and Releasable Suture in Glaucoma Triple Procedure.

Hyoung Joon Park, Kun Jin Yang, Yeoung Geol Park

Department of Ophthalmology, Chonnam University Medical School & Hospital Kwangju, Korea.

녹내장 삼중수술에서 Mitomycin C 와 Releasable suture 의 효용성과 안전성에 대한 고찰

박형준(Hyoung Joon Park),양건진(Kun Jin Yang),박영걸(Yeoung Geol Park)

Abstract

PURPOSE
To evaluate the clinical efficacy and safety of short-term application of mitomycin C and releasable scleral flap sutures. METHODS: The clinical outcome and complications were evaluated in 62 eyes undergone glaucoma triple procedure(Group A: with mitomycin C and releasable suture, Group B: with mitomycin C only, Group C: with releasable suture only, Group D: without mitomycin C and releasable suture). RESULTS: The mean postoperative intraocular pressure was relatively lower in group A and B than that of group C and D(p=0.868). The most common complication was posterior capsular opacity, and other complications were cystoid macular edema, hypotony, choroidal detachment and bleb leakage. CONCLUSIONS: The glaucoma triple procedure using mitomycin C and releasable suture could be recommended to be safe and effective on controlling the early postoperative and long-term intraocular pressure for treating the patients with coexisting cataract and glaucoma, and the use of releasable suture could lower the incidence of postoperative complications such as hypotony.

Key Words: Glaucoma triple procedure;Mitomycin C;Releasable suture