Decreased corneal complications after no-reflux, low-dose 5 fluorouracil subconjunctival injection following trabeculectomy

Int Ophthalmol. 1994;18(4):247-50. doi: 10.1007/BF00951807.

Abstract

In order to reduce corneal complications in 27 glaucomatous eyes that underwent trabeculectomy and postoperative subconjunctival injection of 5-fluorouracil we tried 1) a low-dose administration of 5-fluorouracil and 2) a modified subconjunctival injection technique. The mean total 5-fluorouracil dose was 18.0 +/- 6 mg. A life-table analysis showed a success rate, at 15 months, of 78% (+/- 7 S.E.). Four of the 27 eyes (13%) had corneal complications, limited to punctate keratopathy, with no corneal epithelial defects and/or abrasions. Our study shows that corneal complications decreased when the contact between 5-fluorouracil and the ocular surface was reduced.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Conjunctiva
  • Corneal Diseases / chemically induced
  • Corneal Diseases / prevention & control*
  • Fibrosis / drug therapy
  • Fluorouracil / administration & dosage*
  • Fluorouracil / adverse effects
  • Glaucoma / drug therapy*
  • Glaucoma / surgery*
  • Humans
  • Injections
  • Middle Aged
  • Postoperative Complications / chemically induced
  • Postoperative Complications / prevention & control*
  • Trabeculectomy*

Substances

  • Fluorouracil