Complicações do uso intra-operatório de mitomicina-C em trabeculectomias

Complications of intraoperative mitomycin C on trabeculectomies

RESUMO

Objetivo:

Avaliar a freqüência de complicações decorrentes do uso intra-operatório de mitomicina-C em trabeculectomias.

Materiais e Métodos:

Foram analisados 76 olhos submetidos à cirurgia filtrante com mitomicina-C, notando-se diagnóstico, indicação para seu. uso, medidas de pressão intra-ocular, número de medicações antiglaucomatosase complicações no período pós-operatório.

Resultados:

Esta série mostrou incidência de 25% de câmara anterior rasa, 18,4% de hiperflltração, 10,5% de catarata e 9,2% de descolamento decoróide.

Conclusões:

O presente estudo sugere que a mitomicina-C deve ser utilizada com bastante critério e cautela pelo oftalmologista, tendo em vista as complicações potencialmente graves que podem dela advir.

Palavras-chave:
Mitomicina-C; Trabeculectomia; Glaucoma

SUMMARY

Purpose:

To evaluate the frequency of complications related to the intraoperative use of mitomycin C in trabeculectomies.

Methods:

The authors studied 76 eyes submitted to a filtering procedure with mitomycin C. The intraocular pressure measurements, number of antiglaucomatous medications per patient and postoperative complications of all 76 patients were analyzed.

Results:

This series showed an incidence of 25% of shallow anterior chamber, 18.4% of overfiltration, 1O. 5% of cataract formation and 9.2°% of choroidal detachment.

Conclusions:

The present study suggests that mitomycin C must be cautiously used by ophthalmologists, as related complications can be potentially serious.

Keywords:
Mitomycin C; Trabeculectomy; Glaucoma

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Datas de Publicação

• Publicação nesta coleção
  Jun 1998