| ORIGINAL ARTICLE |
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| Year : 2017 | Volume
: 10
| Issue : 3 | Page : 184-192 |
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Comparison between Ologen implant and different concentrations of Mitomycin C as an adjuvant to trabeculectomy surgery
Zeiad H Eldaly, Ali A Maasoud, Mohamed S Saad, Abdelsalam A Mohamed
Department of Ophthalmology, Assiut University Hospitals, Assiut, Egypt
Correspondence Address:
Zeiad H Eldaly
Department of Ophthalmology, Assiut University Hospitals, 6th Floor, Assiut 71516
Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ojo.OJO_199_2016
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CONTEXT: Trabeculectomy is the most common surgical procedure for treatment of glaucoma. To improve success rates, adjuvants were utilized as Mitomycin C (MMC) and Ologen implant.
AIMS: This study aims to establish efficacy and safety of Ologen implant versus MMC in trabeculectomy.
SETTING AND DESIGN: A prospective, comparative clinical study was conducted at the Department of Ophthalmology, Assiut University, between December 2014 and April 2016.
SUBJECTS AND METHODS: Patients with primary open-angle glaucoma (OAG), primary narrow-angle glaucoma and secondary OAG were assigned equally to trabeculectomy with Ologen, 0.4 mg/mL or 0.2 mg/mL MMC. The study outcome measures were reduction in intra-ocular pressure (IOP), success rates, survival analysis, and rate of complications.
STATISTICAL ANALYSIS USED: SPSS software Version 17.0 (SPSS, Inc., IL, USA) was utilized.
RESULTS: Thirty eyes were included in the study. Mean baseline IOP in Ologen, MMC 0.4 and MMC 0.2 groups were 27.43 ± 2.97, 28.4 ± 3.24, and 27.56 ± 2.69 mmHg, respectively. At week 24 follow-up, mean IOP in Ologen, MMC 0.4 and MMC 0.2 groups were 18.55 ± 3.18, 16.2 ± 3.22, and 16.93 ± 3.04 mmHg, respectively. No significant inter-group difference was noticed at any visits. Complete success was achieved in 10%, 40%, and 30%, whereas incomplete success in 70%, 50%, and 60%, respectively in Ologen, MMC 0.4 and MMC 0.2 groups. No treatment group difference was reported by Kaplan–Meier analysis. Shallow anterior chamber occurred more in Ologen and MMC 0.4 groups. A single case of serous choroidal effusion had occurred in MMC 0.4 group.
CONCLUSION: Ologen implant is a promising alternative to MMC for improving the success rate of trabeculectomy. |
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