Early-Onset Scleral and Corneal Ectasias following Low-Dose Mitomycin-C-Augmented Trabeculectomy in a Uveitic Glaucoma Patient

Vol. 220, No. 6, 2006

Free Abstract Article (Fulltext) Article (PDF 359 KB)

Case Report

Early-Onset Scleral and Corneal Ectasias following Low-Dose Mitomycin-C-Augmented Trabeculectomy in a Uveitic Glaucoma Patient
A. Pirouzian, H. O'Halloran, C. Scher, Y. Jockin

San Diego Children's Hospital, San Diego, Calif., USA

Address of Corresponding Author

Ophthalmologica 2006;220:406-408 (DOI: 10.1159/000095870)

Key Words

Corneal ectasia
Mitomycin-C-augmented trabeculectomy
Scleral ectasia
Uveitic glaucoma

Abstract

A case of early-onset sclerolimbal ectasia following low-dose topical mitomycin C application during uveitic glaucoma surgery is reported. Intraoperative and postoperative clinical courses were consistent with sclerolimbal ectasia. Adjunctive utilization of intraoperative low-dose 0.02% mitomycin C for the management of chronic uveitic glaucoma patients who are under concomitant systemic immunosuppressive regimen may enhance the risk of subacute postoperative sclerolimbal ectasia. Mitomycin C concentrations <0.02%, decreased scleral exposure time, and a strict informed consent policy are strongly recommended in this subset of uveitic patients.

Author Contacts

Amir Pirouzian
San Diego Children's Hospital
3030 Children's Way 109
San Diego, CA 92123 (USA)
Tel. +1 858 309 7701, Fax +1 858 933 7403, E-Mail amirpirouzian@msn.com

Article Information

Received: December 8, 2005
Accepted after revision: February 9, 2006
Number of Print Pages : 3
Number of Figures : 2, Number of Tables : 0, Number of References : 15

Medline Abstract (ID 17095889)

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