Title
Mitomycin C Trabeculectomy Trial for Glaucoma in Ethiopia
Topical vs Injection Application of Mitomycin C Trabeculectomy Trial
Phase
N/ALead Sponsor
University of California, San FranciscoStudy Type
InterventionalStatus
WithdrawnIndication/Condition
GlaucomaIntervention/Treatment
mitomycin ...Study Participants
0This study is a randomized, double-masked trial to examine the response to trabeculectomy surgery. In this study, patients will be randomized to receive MMC via subconjunctival injection or topical sponge application.
This study is a randomized, double-masked (study participants and outcome assessors) trial. During the enrollment period, patients from Menelik Hospital who are planning to have trabeculectomy surgery and who meet the study enrollment criteria will be randomized to receive mitomycin C applied topically or by injection during the surgery.At Menelik Hospital mitomycin-C (MMC) is routinely applied to the eye prior to trabeculectomy by physicians via both sponge and injection routes. The primary outcome is the patient's response to the trabeculectomy procedure, as measured by cumulative complications after a 3-month follow-up period post-operation. Secondary outcome is the change in intraocular pressure after a 3 month follow-up period. The investigators will perform subgroup analyses by stratifying the population according to skin pigmentation to determine whether pigmentation is a predictor of treatment success.
Mitomycin-C is routinely applied to the eye prior to trabeculectomy at Menelik II Hospital
Intervention: At the intended surgical site and about 6mm from the limbus, 0.2ml of 0.2mg/ml of mitomycin-C (MMC) will be injected subconjunctivally before peritomy
Intervention: After peritomy, three half-sponges soaked in 0.2mg/ml mitomycin-C (MMC) will be placed posterior to the area of intended filtration. After 2 minutes, the sponges will be removed
Inclusion Criteria: Age >=40 Planning to have a trabeculectomy Exclusion Criteria: Life threatening or debilitating disease Inability to complete necessary exams and/or ocular disease that would preclude assessment of intraocular pressure, visual field, or optic disc Pseudophakic lens Contralateral eye already enrolled in study