Trabeculectomy with Mitomycin C in Nakornping Hospital

Abstract

          Retrospective study was done on 44 patients (59 eyes) who underwent trabeculectomy with mitomycin C from February 2004 to March 2006. A single dose of 4 microgram in 0.1 ml was applied subconjunctival after conventional trabeculectomy. The mean follow up time was 1.77- 26.60 month (average 10.85). Postoperative intraocular pressure control was achieved in 79.66 percent as defined by an intraocular pressure of less than 21 mmHg without any antiglaucoma medication. Mean intraocular pressure decreased from 41.88, SD 13.59 mmHg preoperatively to 13.55, SD 6.57 mmHg postoperatively with statistically significant at 0.05. Complications were found in 2 eyes with required resutured conjunctiva. In conclusion, trabeculectomy could control intraocular pressure and preserved visual acuity in 96.61 percent of the patients.

Key words: trabeculectomy, mitomycin C, intraocular pressure