Evaluation of Topical Mitomycin-C Eye Drops After Reconstructive Surgery for Anophthalmic Contracted Socket

Faculty Medicine Year: 2021
Type of Publication: ZU Hosted Pages: 4621–4627
Authors:
Journal: Clinical Ophthalmology Dove Medical Press Volume:
Keywords : Evaluation , Topical Mitomycin-C , Drops After Reconstructive Surgery    
Abstract:
Purpose: To report the outcomes of using topical mitomycin-C (MMC) after reconstructive surgery for contracted socket and to compare the results with those of the conventional postoperative treatment. Patients and Methods: The medical records of patients who underwent reconstructive surgery for contracted anophthalmic socket were retrospectively reviewed. Based on the postoperative treatment protocol, two groups of patients were identified; group I (15 patients) who received topical MMC drops (0.02%) 4 times daily for 6 weeks and group II (15 patients) who received the conventional treatment (topical antibiotic-steroid combination). Preoperative data were extracted for age, gender, cause and timing of anophthalmia, history of previous surgeries, preoperative forniceal depth and socket volume (SV). The main postoperative outcome measures were superior fornix depth (SFD), inferior fornix depth (IFD) and SV at the end of 6th postoperative month. Prosthesis fitting and complications were also considered for analysis. Results: The mean preoperative IFD was 1.67±0.04 mm in group I and 1.58±0.37 mm in group II, by the end of the 6th postoperative month it increased to 6.1 ±0.27 mm and 5.12 ±0.25mm, respectively. The mean preoperative SFD in group I was 8.3±0.9 mm and 8.9 ±1.1 mm in group II, by the end of the 6th postoperative month SFD became 13.4±1.2 mm and 10.2±1.4 mm in groups I and II, respectively. The mean SV measured six months postoperatively was 1.9±0.2 mL and 1.3±0.09 mL in groups I and II, respectively. These differences in the postoperative SFD, IFD and SV between both groups were statistically significant. More cases reported successful fitting in group I than in group II but this difference was not statistically significant. Conclusion: Postoperative use of topical MMC is associated with higher forniceal depth and greater SV when compared to the conventional treatment in socket reconstructive surgeries with amniotic membrane graft (AMG).
   
     
 
       

Author Related Publications

  • Haytham Younis AbdulLatif, "Photorefractive Keratectomy for Residual Myopia after Myopic Laser In Situ Keratomileusis", Journal of Ophthalmology, 2017 More
  • Haytham Younis AbdulLatif, "Intravitreal Clindamycin and Dexamethasone Combined with Systemic Oral Antitoxoplasma Therapy versus Intravitreal Therapy Alone in the Management of Toxoplasma Retinochoroiditis: A Retrospective Study", Hindawi, 2018 More
  • Haytham Younis AbdulLatif, "Comparison of corneal hysteresis and corneal resistance factor after small-incision lenticule extraction and photorefractive keratectomy", Delta Journal of Ophthalmology, 2017 More
  • Haytham Younis AbdulLatif, "Predictability of Sirius dual-scanning corneal tomography in the measurement of corneal power after photorefractive surgery", Int Ophthalmol, 2016 More
  • Haytham Younis AbdulLatif, "Effect of intravitreal bevacizumab on subfoveal choroidal thickness in eyes with diabetic macular edema", Delta Journal of Ophthalmology, 2016 More

Department Related Publications

  • Ashraf Mahrous Eiid, "Safety and efficacy of intracameral injection of dexamethasone and moxifloxacin at the end of cataract surgery"", Zagazig University Medical Journal, 2019 More
  • Hala Kamal Mohamed Mtoot, "‎ Evaluation of Topical Mitomycin-C Eye Drops After Reconstructive Surgery for ‎Anophthalmic Contracted Socket", Dove Medical Press, 2021 More
  • Hala Kamal Mohamed Mtoot, "The Use of Topical Nalbuphine in Different ‎Concentrations to Control Pain ‎after ‎Photorefractive ‎Keratectomy ‎", Springer, 2022 More
  • Hala Kamal Mohamed Mtoot, "The Combined Use of Silicone and Green Braided ‎Polyester ‎Suture ‎ (Ethibond) versus ‎Silicone or ‎Ethibond Alone for Frontalis ‎Suspension Surgery in ‎‎Children", Dove Medical Press, 2022 More
  • Hala Kamal Mohamed Mtoot, "Treatment of dissociated vertical deviation by combined ‎recession–resection of the superior rectus muscle versus ‎recession with posterior fixation suture", Bentham, 2022 More
Tweet