47981

Subconjunctival Bevacizumab versus Mitomycin C Adjunctive to Subscleral Trabeculectomy

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Last updated: 03 Jan 2025

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Abstract

Background: trabeculectomy was considered gold standard procedure for glaucoma treatment. Mitomycin C (MMC) and bevacizumab (BVZ) has been used to increase trabeculectomy success rates. Objective: to compare the outcome of subscleral trabeculectomy with subconjunctival injection of BVZ with that of trabeculectomy with MMC. Patients and Methods: a prospective, non-randomized, comparative study design was used. Thirty eyes from thirty patients with uncontrolled glaucoma were enrolled. Fifteen eyes underwent subscleral trabeculectomy with intraoperative use of MMC (0.2mg/ml for 3 minutes) (group I) and 15 eyes underwent subscleral trabeculectomy with subconjunctival bevacizumab injection (1.25mg/0.1ml) (group II). The outcome measures were the best-corrected visual acuity, intraocular pressure (IOP), number of IOP-lowering medications, complications, and bleb morphologic features (based on the Indiana Bleb Appearance Grading Scale). Results: thirty eyes of thirty patients fulfilled inclusion criteria and assigned to one of two study groups. Each study group included fifteen eyes of fifteen patients. Participants were 14 males and 16 females. Mean ages of patients assigned to MMC and BVZ were 54.0±7.33 and5.7±6.9 years respectively. The difference in mean age was statistically insignificant among treatment groups (p=0.740). Mean number of pre-operative anti-glaucoma medications used by MMC and BVZ treatment groups were 2.47±0.52 and 2.47±0.52 with no significant difference among treatment groups (p=1.00). Conclusions: adjunctive subconjunctival bevacizumab with trabeculectomy is effective in controlling the IOP profile and the post-operative IOP reduction showed no statistically significant different in both group at all postoperative visits. Comparable success rates were achieved in the two groups.

DOI

10.21608/ejhm.2019.47981

Keywords

subscleral trabeculectomy, Bevacizumab, mitomycin c, Intraocular Pressure

Authors

First Name

Ekram R.

Last Name

Abdallah

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

Email

ekramragababdallah@gmail.com

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First Name

Mahmoud Abd El-badie

Last Name

Mohamed

MiddleName

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

Email

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Orcid

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First Name

Hossam Eldeen Saad

Last Name

Abou Saif

MiddleName

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

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Orcid

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Volume

77

Article Issue

2

Related Issue

7349

Issue Date

2019-10-01

Receive Date

2019-09-13

Publish Date

2019-10-01

Page Start

4,952

Page End

4,955

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_47981.html

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https://ejhm.journals.ekb.eg/service?article_code=47981

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12

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Subconjunctival Bevacizumab versus Mitomycin C Adjunctive to Subscleral Trabeculectomy

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Article

Created At

22 Jan 2023