Uso tópico pós-operatório versus aplicação intra-operatória da mitomicina C a 0,02%, na prevenção de recidivas pós-operatórias do pterígio primário

Uso tópico pós-operatório versus aplicação intra-operatória da mitomicina C a 0,02%, na prevenção de recidivas pós-operatórias do pterígio primário

Autores:

José Augusto Cardillo,
Milton Ruiz Alves,
Newton Kara José,
Alfredo Tranjan Neto,
Juliana Fonseca Serpa,
Luciano Eneas Ambrósio

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.58 no.6 São Paulo dez. 1995

http://dx.doi.org/10.5935/0004-2749.19950002

SUMMARY

Purpose:

This study was carried out to determine the efficacy of the intraoperative application of subconjunctival O. 02% mitomycin C and topical O. 02% mitomycin C instilled postoperatively, on pterygium recurrence after surgical excision.

Methods and results:

45 eyes of 45 patients were treated with the intraoperative application of mitomycin C and three cases showed pterygium recurrence (6.67%). A cell sponge was soaked with a 0.02% solution of mitomycin C and placed in contact with the exposed scleral bed for 3 minutes. 47 eyes of 47 patients after pterygium excision received 0.02% mitomycin C eyedrops 3 times a day for 5 days and two cases showed recurrence (4.26%). Follow up time for ali cases exceeded eighteen months.

Conclusion:

The comparison between the efficacy of the intraoperative application versus topical use of the drug didn't show significant difference.

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