Literature DB >> 15580913

Intraoperative application of topical mitomycin C 0.05% for pterygium surgery.

Julio A Rodriguez1, Cristina Ferrari, Gustavo A Hernández.   

Abstract

BACKGROUND: Pterygium recurrence is a common problem encountered by ophthalmic surgeons. Several methods have been suggested to avoid these recurrences. We studied the recurrence rate of pterygium after administration of a single intraoperative dosage of topical mitomycin C 0.05%.
METHODS: A retrospective analysis of fifty eyes in forty-nine patients who underwent pterygium excision by the same surgeon using intraoperative topical mitomycin C during the years 2002--2003. Mitomycin concentration was 0.05% applied to pterygium and adjacent areas after undermining and separation from sclera but prior to excision for three minutes. Postoperative follow up time was 12 months.
RESULTS: The pterygium recurred in 4 (8%) eyes. Another four eyes (8%) had a cosmetically acceptable recurrence of < 2.0 mm. The only complication was a corneal dellen in one eye.
CONCLUSION: Intraoperative administration of mitomycin C at 0.05% is safe and effective in preventing pterygium recurrences.

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Year:  2004        PMID: 15580913

Source DB:  PubMed          Journal:  Bol Asoc Med P R        ISSN: 0004-4849


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