Deep sclerectomy with mitomycin C in failed trabeculectomy

Abstract

Aim: To evaluate the success rate and complications associated with deep sclerectomy with mitomycin C (MMC) and a reticulated hyaluronic acid implant in previously failed trabeculectomy. Methods: This prospective study included 20 eyes with a previously failed trabeculectomy, which were treated with deep sclerectomy with 0.2mg/ml MMC application under the conjunctiva and superficial scleral flap. Intraocular pressure (IOP), glaucoma medications, visual acuity, and complications were recorded preoperatively and 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively. Results: The mean preoperative IOP was 25.8±7.3mmHg; the IOP significantly decreased to 14.6±3.2mmHg 1 year postoperative. At each interval, the mean IOP was significantly lower than preoperatively (P=0.000). At 1 year, the complete success rate (IOP≤21mmHg untreated) was 65% and the qualified success rate (IOP≤21mmHg with and without medication) was 100%. 12 patients (60%) achieved an IOP≤15mmHg with and without medication. No shallow or flat anterior chamber, endophthalmitis, or leakage developed. Conclusions: These data suggest that deep sclerectomy augmented with MMC is a safe surgical procedure that decreases IOP in eyes with a previously failed trabeculectomy.