Trabeculectomy with mitomycin-C in pediatric glaucomas.

Abstract

The following two letters address an article that appeared in the March 2000 issue of the Journal:Sidotti PA, Belmonte SJ, Liebmann JM, et al. Trabeculectomy with mitomycin-C in the treatment of pediatric glaucomas. (Ophthalmology 2000;107:422–9)Dear Editor: In the recent article by Sidoti et al, the authors showed the relatively long interval between mitomycin-C trabeculectomy and bleb-related infection (BRI). We saw a 9-year-old child with a bleb-related endophthalmitis in his better eye 54 months after mitomycin-C trabeculectomy.The infection was controlled, but the function of the filtering bleb was lost. The parents lived for 2 weeks with the idea that vision in that eye would probably be lost.To diminish the possibility of a new BRI, we advise the use of protective glasses all the time, no contact sports, no swimming, see the ophthalmologist the same day if the eye turns red or if there is secretion, talk to the pediatrician about this condition, and watch closely any upper respiratory airway infection. Any other suggestions? The following two letters address an article that appeared in the March 2000 issue of the Journal: Sidotti PA, Belmonte SJ, Liebmann JM, et al. Trabeculectomy with mitomycin-C in the treatment of pediatric glaucomas. (Ophthalmology 2000;107:422–9) Dear Editor: In the recent article by Sidoti et al, the authors showed the relatively long interval between mitomycin-C trabeculectomy and bleb-related infection (BRI). We saw a 9-year-old child with a bleb-related endophthalmitis in his better eye 54 months after mitomycin-C trabeculectomy. The infection was controlled, but the function of the filtering bleb was lost. The parents lived for 2 weeks with the idea that vision in that eye would probably be lost. To diminish the possibility of a new BRI, we advise the use of protective glasses all the time, no contact sports, no swimming, see the ophthalmologist the same day if the eye turns red or if there is secretion, talk to the pediatrician about this condition, and watch closely any upper respiratory airway infection. Any other suggestions? Author’s replyOphthalmologyVol. 108Issue 5Preview Full-Text PDF