Foreign body granulomas secondary to retained sponge fragment following mitomycin C trabeculectomy

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Sami Al-Shahwan, Deepak P Edward

Abstract

Bleb related inflammation following trabeculectomy is usually seen in the late post operative period and is unusual in the first 6 months after surgery We report the clinical findings and course of two patients with early bleb related inflammation secondary to retained cellulose sponge fragments used to apply mitomycin C on the scleral surface. Retrospective review of medical records of two patients and pathology from one patient. Both patients developed bleb related inflammation four months after a combined fornix based trabeculectomy and cataract procedure in which mitomycin C was applied using filter paper discs (Whatman filter paper #1). Material suggestive of cellulose fragments was noted in the filtering bleb in both patients. Patient 1 had a bleb leak at time of presentation and pathologic examination of foreign body material obtained from the site of the leak demonstrated a granulomatous reaction surrounding cellulose fibers. The foreign body material was removed in both patients. This led to resolution of the bleb leak in the first patient and at one year following the procedure both patients had functioning blebs in the affected eye. Retention of sponge fragments is rare but may be a cause of bleb inflammation as a re...Continue Reading

References

Jan 1, 1977·American Journal of Surgery·M A TinkerD Burdman
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Jan 23, 1998·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·H MietzG K Krieglstein
May 2, 1998·Archives of Ophthalmology·D S GreenfieldR Ritch
Mar 7, 2002·Archives of Ophthalmology·Peter W DeBryLyndia C Brumback

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Citations

May 22, 2007·Current Problems in Surgery·Verna C GibbsH David Reines
Jan 4, 2007·International Wound Journal·Alper SariFerit Demirkan
Dec 24, 2010·Clinical & Experimental Ophthalmology·Robert M Knape, Mary F Smith
Apr 25, 2009·Current Opinion in Anaesthesiology·Wenshuai WanAlex Macario
Jan 8, 2021·International Ophthalmology·Shaheryar Ahmed KhanUmair Razzaq Arain

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