Evaluation of Macular Thickness in Glaucoma Patients Using Prostaglandin Analog Eye Drops Undergoing Trabeculectomy with Mitomycin C: Prospective, Comparative, Randomized, Masked Examiner Study

• Published in: Ophthalmic research Vol. 67; no. 1; p. 506
• Main Authors: Assis de Britto Santiago, Sula Cristina, Pereira de Ávila, Marcos, Magacho, Leopoldo
• Format: Journal Article
• Language: English
• Published: Switzerland 2024
• Subjects: Adult; Aged; Alkylating Agents - administration & dosage; Female; Glaucoma - diagnosis; Glaucoma - physiopathology; Glaucoma - surgery; Humans; Intraocular Pressure - physiology; Macula Lutea - diagnostic imaging; Macula Lutea - pathology; Male; Middle Aged; Mitomycin - administration & dosage; Ophthalmic Solutions; Prospective Studies; Prostaglandins, Synthetic - administration & dosage; Prostaglandins, Synthetic - therapeutic use; Tomography, Optical Coherence - methods; Trabeculectomy - methods; Visual Acuity; Trabeculectomy; Macular thickness; Prostaglandin analogs
• ISSN: 1423-0259; 1423-0259
• DOI: 10.1159/000541104

The aim of the study was to evaluate the macular thickness of glaucomatous patients undergoing trabeculectomy (TREC) with mitomycin C (MMC) with or without the use of prostaglandin analog (PA) eye drops.
In this prospective, comparative clinical trial, patients with glaucoma and indications for TREC with MMC using PA and without previous macular changes were randomized into 2 groups: the study group (SG) and the control group (CG). In the CG, PA was suspended between 30 and 60 days after the preoperative exams. The subjects were evaluated, including optical coherence tomography (OCT) with the Cirrus 4000 macular protocol preoperatively and in the postoperative period on 3 occasions: 1-3 days ("PO1"), 6-9 days ("PO7"), and 27-30 days ("PO30") after surgery. The results were compared between groups.
Thirty-five eyes of 35 patients were included (17 in the CG and 18 in the SG). There was no statistically significant difference in age (p = 0.2), the preoperative visual field mean deviation (p = 0.08), or the preoperative intraocular pressure (SG: 24.8 ± 7.8 mm Hg vs. CG: 22.8 ± 6.0 mm Hg, p = 0.4). The preoperative macular OCT parameters were equivalent between the groups (p > 0.05). When comparing the variation of parameters between the groups between preop and PO30 there was equivalence in all of the comparisons evaluated. The presence (or absence) of the lens did not affect the results.
PA eye drops did not affect macular thickness after TREC with MMC in glaucomatous patients.