Trabeculectomy combined with mitomycin C and adjustable suture

Objective To discuss the effect of trabeculectomy combined with mitomycin C and adjustable suture.Methods 78 eyes of 58 patients with glaucoma were under combined-trabeulectomy with one piece of 0.25mg/ml mitomycin C soaked cotton lobe under scleral flap for 3minites during surgery.In suturing scleral flap the stitch span were increased in order that it would be easy to cut off for IOP control.Postoperative IOP,conditions of filtered bubble and anterior chamber were followed up for 6 months.Results All patients were successfully underwent combined-trabeulectomy to form content filtered bubble.During 6 months follow up,the IOP were effectively controlled,by student′s t test p0.001.The main complication were early stage shallow anterior chamber and minimal hyphema.Conclusion The use of 0.25 mg/mL mitomycin C during surgery is profit to get long-term effectual filtered bubble.Combined with broken the scleral suture,the IOP control will be more ideal and decreased the side effect such as shallow of anterior chamber.