Subconjunctival Versus Intrascleral Application Of Mitomycin C During Trabeculectomy.

Abstract:

:Purpose: To compare efficacy and safety between subconjunctival and intrascleral methods of mitomycin C (MMC) application during trabeculectomy Methods: This retrospective study included 165 eyes treated by trabeculectomy and compared clinical outcomes between eyes that received subconjunctival MMC (Group 1, 80 eyes, 48.5%) and eyes that received intrascleral (Group 2, 85 eyes, 51.5%) MMC. Surgical success was defined as an intraocular pressure (IOP) of 6-21 mmHg with or without topical antiglaucoma medication use. Results: Mean IOP values were not significantly different between Group 1 and Group 2 (P > 0.05) until 2 weeks after surgery, while they differed significantly at 1, 3, 6, 12, and 24 months after surgery (P < 0.05). The mean number of antiglaucoma medications was 3.6 ± 0.6 and 3.5 ± 0.7, respectively, before surgery (P = 0.327) and 0.27 ± 0.32 and 0.10 ± 0.29, respectively, at 24 months after surgery (P = 0.001). The surgical success rate at 24 months was 86.25% and 94.12% in Groups 1 and 2, respectively (P = 0.041; log-rank test). Encysted blebs were observed in 17 and 8 patients in Groups 1 and 2 (P = 0.034), respectively, at 24 months. There was no statistically significant difference in the incidence of hypotony, choroidal detachment, conjunctival leakage, cataract and the rate of postoperative procedures between Groups 1 and 2 (P > 0.05). Conclusions: Compared to the subconjunctival method, the intrascleral method of MMC application can increase the long-term success of trabeculectomy without increasing the complication rate.

authors

Zhang M,Li B,Wang J,Liu W,Wu X

doi

10.1167/iovs.14-14159

subject

Has Abstract

pub_date

2014-07-21 00:00:00

eissn

0146-0404

issn

1552-5783

pii

iovs.14-14159

pub_type

杂志文章
  • Endotoxin-induced uveitis in cyclooxygenase-2-deficient mice.

    abstract:PURPOSE:Endotoxin-induced uveitis (EIU) is a model that mimics human acute anterior uveitis. Cyclooxygenase (COX)-2 is an enzyme that initiates the conversion of arachidonic acid (AA) into prostaglandins (PGs), whereas 5-lipoxygenase (5-LO) generates leukotrienes (LT). The purpose of this study was to delineate the rol...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.03-0756

    authors: Tuo J,Tuaillon N,Shen D,Chan CC

    更新日期:2004-07-01 00:00:00

  • Retinal Nerve Fiber Layer Thickness in Children: The Gobi Desert Children Eye Study.

    abstract:Purpose:Because there is a paucity of population-based data on retinal nerve fiber layer thickness (RNFLT) for children, we measured the RNFLT and its associations in schoolchildren. Methods:The population-based Gobi Desert Children Eye Study included all schoolchildren aged 6 to 21 years living in Ejina, Inner Mongol...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.18-25418

    authors: Wang CY,Zheng YF,Liu B,Meng ZW,Hong F,Wang XX,Wang XJ,Du L,Wang IY,Zhu D,Tao Y,You QS,Jonas JB

    更新日期:2018-10-01 00:00:00

  • Human corneal endothelial cells employ phosphorylation of p27(Kip1) at both Ser10 and Thr187 sites for FGF-2-mediated cell proliferation via PI 3-kinase.

    abstract:PURPOSE:FGF-2 stimulates cell proliferation of rabbit corneal endothelial cells (rCECs) by degrading the cyclin-dependent kinase inhibitor p27(Kip1) (p27) through its phosphorylation mechanism. The authors investigated whether the cell proliferation of human CECs (hCECs) is also induced by FGF-2 stimulation through the...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.11-8213

    authors: Lee JG,Song JS,Smith RE,Kay EP

    更新日期:2011-10-17 00:00:00

  • Degradation of Visual Performance With Increasing Levels of Retinal Stray Light.

    abstract:Purpose:To quantify the effect of induced stray light on halo size, luminance threshold, and contrast sensitivity. Methods:Retinal stray light was induced in five healthy subjects using different photographic filters. The stray light induced ranged from levels observed in intraocular lenses (IOLs) with glistenings (lo...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.15-18514

    authors: van der Mooren M,Rosén R,Franssen L,Lundström L,Piers P

    更新日期:2016-10-01 00:00:00

  • Dopamine influences the light peak in the perfused mammalian eye.

    abstract::Dopamine, cis-flupenthixol, and dibutyryl cAMP affected the standing potential and light-evoked responses of the perfused cat eye in vitro. At micromolar concentrations, dopamine, a retinal neurotransmitter, increased the standing potential of the eye. At slightly higher concentrations, dopamine abolished the "light p...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Dawis SM,Niemeyer G

    更新日期:1986-03-01 00:00:00

  • Metabolic changes in the cornea of vitamin A-deficient rats.

    abstract::We have investigated alterations of the metabolic state in vitamin A-deficient (A-) corneas using phosphorus-31 (31P) nuclear magnetic resonance (NMR) spectroscopy. Comparing to the control, A- corneas showed a prominent rise of phosphocreatine (PCr) as well as a total loss of glycerophosphorylcholine (GPC). Further, ...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Hayashi K,Cheng HM,Xiong J,Xiong H,Kenyon KR

    更新日期:1989-04-01 00:00:00

  • An ocular model of adenovirus type 5 infection in the NZ rabbit.

    abstract::Ocular adenoviral infections occur worldwide, and currently, there is no ocular animal model for evaluating new antivirals or studying pathogenesis. With a paired-eye design, an ocular model was developed in 32 New Zealand rabbits following topical and intrastromal inoculation with a clinical isolate of adenovirus typ...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Gordon YJ,Romanowski E,Araullo-Cruz T

    更新日期:1992-03-01 00:00:00

  • Outer Retinal Changes Including the Ellipsoid Zone Band in Usher Syndrome 1B due to MYO7A Mutations.

    abstract:PURPOSE:To study transition zones from normal to abnormal retina in Usher syndrome IB (USH1B) caused by myosin 7A (MYO7A) mutations. METHODS:Optical coherence tomography (OCT) scattering layers in outer retina were segmented in patients (n = 16, ages 2-42; eight patients had serial data, average interval 4.5 years) to...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.15-18860

    authors: Sumaroka A,Matsui R,Cideciyan AV,McGuigan DB 3rd,Sheplock R,Schwartz SB,Jacobson SG

    更新日期:2016-07-01 00:00:00

  • Role of the small GTP-binding protein rho in epithelial cell migration in the rabbit cornea.

    abstract:PURPOSE:To determine the role of the small guanosine triphosphate (GTP)-binding protein Rho in the migration of corneal epithelial cells. METHODS:The presence of the Rho target proteins Rho-associated coiled coil-containing protein kinase (ROCK)-1 and ROCK-2 in rabbit cornea was examined by immunohistochemical analysi...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Nakamura M,Nagano T,Chikama T,Nishida T

    更新日期:2001-04-01 00:00:00

  • Dark-adapted sensitivity, rhodopsin content, and background adaptation in pcd/pcd mice.

    abstract::Adaptation to steady background lights has been investigated in pcd/pcd mice, a mutant strain with retinal degeneration. The hyperbolic stimulus/response functions of the scotopic b-wave of the electroretinogram show progressive changes. For the dark-adapted eyes the decrease in log sensitivity between ages 1 and 12 m...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Fulton AB,Manning KA,Baker BN,Schukar SE,Bailey CJ

    更新日期:1982-03-01 00:00:00

  • Epiretinal membrane inflammatory cell density might reflect the activity of proliferative diabetic retinopathy.

    abstract:PURPOSE:Diabetic retinopathy (DR) has features of chronic low-grade inflammation. The purpose of our study was to investigate whether the presence of inflammatory cells in fibrovascular membranes (FVMs) from patients with proliferative diabetic retinopathy (PDR) is associated with the activity of PDR and visual acuity ...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.13-13634

    authors: Urbančič M,Štunf Š,Milutinović Živin A,Petrovič D,GlobočnikPetrovič M

    更新日期:2014-11-25 00:00:00

  • Riboflavin Concentrations at the Endothelium During Corneal Cross-Linking in Humans.

    abstract:Purpose:To determine the riboflavin concentration in the posterior corneal stroma, Descemet's membrane, and endothelium prior to UV irradiation in corneal cross-linking (CXL) in humans. Methods:Five human deepithelialized cadaver corneas were mounted into artificial anterior chambers. After the establishment of stable...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.19-26686

    authors: Seiler TG,Batista A,Frueh BE,Koenig K

    更新日期:2019-05-01 00:00:00

  • The Associations of Lens Power With Age and Axial Length in Healthy Chinese Children and Adolescents Aged 6 to 18 Years.

    abstract:Purpose:To investigate the relationship between lens power and age as well as the relationship between lens power and axial length (AL) in Chinese children and adolescents. Methods:The participants underwent a comprehensive ophthalmic examination that included AL, cycloplegic refraction, and Pentacam measurements. The...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.17-22639

    authors: Xiong S,Zhang B,Hong Y,He X,Zhu J,Zou H,Xu X

    更新日期:2017-11-01 00:00:00

  • Retinal pigment epithelium cells can influence endothelial cell plasminogen activators.

    abstract::Endothelial cells from both human retinal microvessels (HME) and fetal bovine aortic endothelium (FBAE) were grown in aggregate cultures alone, or with either retinal pigment epithelium (RPE) cells or fibroblasts. The levels of plasminogen activator (PA) and plasminogen activator inhibitor (PAI) in the conditioned med...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Moisseiev J,Jerdan JA,Dyer K,Maglione A,Glaser BM

    更新日期:1990-06-01 00:00:00

  • Single-Cell RNA Transcriptome Helps Define the Limbal/Corneal Epithelial Stem/Early Transit Amplifying Cells and How Autophagy Affects This Population.

    abstract:Purpose:Single-cell RNA-sequencing (scRNA-seq) was used to interrogate the relatively rare stem (SC) and early transit amplifying (TA) cell populations in limbal/corneal epithelia from wild-type and autophagy-compromised mice. Methods:We conducted scRNA-seq on ocular anterior segmental tissue from wild-type and beclin...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.19-27656

    authors: Kaplan N,Wang J,Wray B,Patel P,Yang W,Peng H,Lavker RM

    更新日期:2019-08-01 00:00:00

  • Scleral plug of biodegradable polymers containing ganciclovir for experimental cytomegalovirus retinitis.

    abstract:PURPOSE:To evaluate the efficacy of a biodegradable scleral plug containing ganciclovir (GCV) in a rabbit model of human cytomegalovirus (HCMV) retinitis. METHODS:To develop a rabbit model for HCMV retinitis, HCMV solution was injected once into the vitreous cavity of pigmented rabbits. The treated animals were divide...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Sakurai E,Matsuda Y,Ozeki H,Kunou N,Nakajima K,Ogura Y

    更新日期:2001-08-01 00:00:00

  • Role of interleukin-1beta in the development of retinopathy in rats: effect of antioxidants.

    abstract:PURPOSE:Diabetic retinopathy is shown to share many similarities with chronic inflammatory disease, and in diabetes, accelerated apoptosis of retinal capillary cells is evident before histopathology can be seen. The purpose of this study was to examine the effect of interleukin (IL)-1beta on capillary cell apoptosis in...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.04-0633

    authors: Kowluru RA,Odenbach S

    更新日期:2004-11-01 00:00:00

  • Abnormal Tuning in Nucleus Prepositus Hypoglossi of Monkeys With "A" Pattern Exotropia.

    abstract:Purpose:In many individuals with pattern strabismus, the vertical misalignment varies with horizontal eye position. It has been proposed that these cross-axis effects result from abnormal cross-talk between brainstem structures that would normally encode horizontal and vertical eye position and velocity. The nucleus pr...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.61.5.45

    authors: Pallus A,Walton MMG

    更新日期:2020-05-11 00:00:00

  • Relation of cholesterol-stimulated Staphylococcus aureus growth to chronic blepharitis.

    abstract:PURPOSE:Many types of chronic blepharitis have been believed to be primarily microbial in origin; however, it was proposed that differences and changes in lipid composition of meibomian secretion may be the initiating factor in some of these. It was recently reported that there are two subgroups of normals, those whose...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Shine WE,Silvany R,McCulley JP

    更新日期:1993-06-01 00:00:00

  • Proteinase and growth factor alterations revealed by gene microarray analysis of human diabetic corneas.

    abstract:PURPOSE:To identify proteinases and growth factors abnormally expressed in human corneas of donors with diabetic retinopathy (DR), additional to previously described matrix metalloproteinase (MMP)-10 and -3 and insulin-like growth factor (IGF)-I. METHODS:RNA was isolated from 35 normal, diabetic, and DR autopsy human ...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.04-1507

    authors: Saghizadeh M,Kramerov AA,Tajbakhsh J,Aoki AM,Wang C,Chai NN,Ljubimova JY,Sasaki T,Sosne G,Carlson MR,Nelson SF,Ljubimov AV

    更新日期:2005-10-01 00:00:00

  • Improvement in rod and cone function in mouse model of Fundus albipunctatus after pharmacologic treatment with 9-cis-retinal.

    abstract:PURPOSE:To assess changes in rod and cone visual functions in a mouse model of Fundus albipunctatus with disrupted 11-cis-retinol dehydrogenase (RDH) genes after pharmacologic treatment with an artificial retinal chromophore. METHODS:Retinoid levels and photoreceptor functions of Rdh5-/-Rdh11-/- mice at a variety of l...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.06-0215

    authors: Maeda A,Maeda T,Palczewski K

    更新日期:2006-10-01 00:00:00

  • Vascular wall von Willebrand factor in human diabetic retinopathy.

    abstract:PURPOSE:To reconstruct the role played by vascular endothelium in the elevation of circulating von Willebrand factor (vWf) in diabetic patients with microangiopathy and, specifically, to determine whether storage and synthesis of vWf is altered in diabetic retinal vessels. METHODS:Trypsin digests were prepared from re...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Boeri D,Cagliero E,Podestá F,Lorenzi M

    更新日期:1994-02-01 00:00:00

  • The Leber congenital amaurosis protein AIPL1 functions as part of a chaperone heterocomplex.

    abstract:PURPOSE:AIPL1 mutations cause the severe inherited blindness Leber congenital amaurosis (LCA). The similarity of AIPL1 to tetratricopeptide repeat (TPR) cochaperones that interact with the chaperone Hsp90 and the ability of AIPL1 to suppress the aggregation of NUB1 fragments in a chaperone-like manner suggest that AIPL...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.07-1576

    authors: Hidalgo-de-Quintana J,Evans RJ,Cheetham ME,van der Spuy J

    更新日期:2008-07-01 00:00:00

  • Transgenic mice expressing mutated Tyr437His human myocilin develop progressive loss of retinal ganglion cell electrical responsiveness and axonopathy with normal iop.

    abstract:PURPOSE:To characterize age-related changes of retinal ganglion cell (RGC) function, IOP, and anatomical markers of axon/glia integrity in a transgenic mouse expressing Tyr437His mutant of human myocilin protein. METHODS:Retinal ganglion cell electrical responsiveness was tested with pattern electroretinogram (PERG) i...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.14-14793

    authors: Chou TH,Tomarev S,Porciatti V

    更新日期:2014-08-14 00:00:00

  • Definition of ocular antigens in ciliary body and retinal ganglion cells by the marker antibody pANCA.

    abstract:PURPOSE:A subset of patients with anterior uveitis express the marker, perinuclear anti-neutrophil cytoplasmic antibody (pANCA). In this study, recombinantly isolated pANCA monoclonal antibodies were used to search for ocular cells expressing the pANCA antigen. METHODS:Paraffin sections of human ocular tissues obtaine...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Gordon LK,Eggena M,Targan SR,Braun J

    更新日期:1999-05-01 00:00:00

  • The mydriatic effect of intracameral epinine hydrochloride.

    abstract:PURPOSE:To compare the mydriatic effect and the short-term corneal endothelial safety of intracamerally injected N-methyl-3,4-dihydroxyphenylamine (epinine) to phenylephrine in a porcine eye model. METHODS:One hundred twelve eyes from newly slaughtered pigs were used in this study. After pretreatment with 20 mg intrac...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.09-3651

    authors: Lundberg B,Behndig A

    更新日期:2009-11-01 00:00:00

  • S-nitrosoglutathione photolysis as a novel therapy for antifibrosis in filtration surgery.

    abstract:PURPOSE:To determine whether a novel peroxynitrite-based photosensitizer S-nitrosoglutathione (GSNO) can produce specific in vitro light-induced cell death of both standard animal lung and human Tenon's capsule (TC) fibroblasts and to compare this effect with that produced by the established photodynamic porphyrin prec...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Tannous M,Hutnik CM,Tingey DP,Mutus B

    更新日期:2000-03-01 00:00:00

  • Generation and Proteome Profiling of PBMC-Originated, iPSC-Derived Corneal Endothelial Cells.

    abstract:Purpose:Corneal endothelial cells (CECs) are critical in maintaining clarity of the cornea. This study was initiated to develop peripheral blood mononuclear cell (PBMC)-originated, induced pluripotent stem cell (iPSC)-derived CECs. Methods:We isolated PBMCs and programmed the mononuclear cells to generate iPSCs, which...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.17-22927

    authors: Ali M,Khan SY,Vasanth S,Ahmed MR,Chen R,Na CH,Thomson JJ,Qiu C,Gottsch JD,Riazuddin SA

    更新日期:2018-05-01 00:00:00

  • Localization of alkaline phosphatase on basolateral plasma membrane of normal and regenerating retinal pigment epithelium. A cytochemical study in rabbits.

    abstract::Ultrastructural cytochemistry was used to analyze the polarized distribution of alkaline phosphatase (AP) on the plasma membranes of normal and regenerating retinal pigment epithelium (RPE) and the ciliary body epithelium in rabbits. The AP activity was concentrated on the basolateral plasma membrane in normal RPE. In...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:

    authors: Korte GE,Rappa E,Andracchi S

    更新日期:1991-12-01 00:00:00

  • Endoscopic vitrectomy improves outcomes of Seoul-type keratoprosthesis exchange in rabbit model.

    abstract:PURPOSE:To investigate the efficacy of an endoscopic vitrectomy in Seoul-type keratoprosthesis (S-Kpro) exchange procedures. METHODS:Nine S-Kpro-implanted rabbit eyes were enrolled in the S-Kpro exchange. Six eyes underwent an antecedent vitrectomy by an endoscopic system and then the S-Kpro exchange (endoscopy group)...

    journal_title:Investigative ophthalmology & visual science

    pub_type: 杂志文章

    doi:10.1167/iovs.08-1802

    authors: Lee SM,Kim MK,Oh JY,Heo JW,Shin MS,Lee MS,Wee WR,Lee JH

    更新日期:2008-10-01 00:00:00