Effectiveness of a Procedure for Previously Failed Glaucoma Surgery
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Purpose
Transconjunctival mitomycin-C in needle bleb revision may be an effective procedure to treat cases with a previously failed trabeculectomy. We will investigate approximately 100 consecutive cases with follow up of up to 9 years. We anticipate that this procedure is an effective, safe, and appropriate option for successful glaucoma treatment.
| Condition | Intervention |
|---|---|
|
Glaucoma |
Procedure: Glaucoma surgery- Bleb revision |
| Study Type: | Observational |
| Study Design: | Observational Model: Defined Population Primary Purpose: Screening Time Perspective: Longitudinal Time Perspective: Retrospective |
| Official Title: | Efficacy of Transconjunctival Mitomycin-C in Needle Revisions of Failing Trabeculectomy |
| Estimated Enrollment: | 100 |
| Study Start Date: | May 1997 |
| Estimated Study Completion Date: | June 2006 |
The healing process after filtering surgery for glaucoma may cause an unsuccessful outcome for the trabeculectomy procedure. In order to control the rising intraocular pressure due to the failed trabeculectomy, medications may be restarted and/or filtering surgery may need to be repeated. Our primary research showed that transconjunctival mitomycin-C in needle bleb revision may be an effective procedure to control this situation.
This retrospective study will follow over 100 patients from May 1997 to May 2006. This long-term follow up will help assess the future role of this technique in glaucoma practices.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Diagnosis of glaucoma
- Failed filtering procedures- defined as intraocular pressure exceeded target pressure thus inducing possible further optic nerve damage
Exclusion Criteria:
- Needling combined with other ocular surgical or laser treatments
Contacts and Locations| United States, California | |
| Glaucoma Center of San Francisco | |
| San Francisco, California, United States, 94105 | |
| Principal Investigator: | Andrew G. Iwach, MD | Glaucoma Reseach & Education Group |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00347789 History of Changes |
| Other Study ID Numbers: | 11111 |
| Study First Received: | June 30, 2006 |
| Last Updated: | June 30, 2006 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Glaucoma Research & Education Group:
|
glaucoma trabeculectomy filtering bleb revision |
intraocular pressure needling procedure mitomycin C |
Additional relevant MeSH terms:
|
Glaucoma Ocular Hypertension Eye Diseases Mitomycins Mitomycin Antibiotics, Antineoplastic Antineoplastic Agents |
Therapeutic Uses Pharmacologic Actions Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Alkylating Agents |
ClinicalTrials.gov processed this record on May 16, 2013