Case series of subconjunctival Inj mitomycin C with bleb massage in postoperative period of mitomycin C augmented trabeculectomies for bleb modulation
Abstract
We report four cases of use of Inj mitomycin C (MMC) (20 mcg) in the subconjunctival space adjacent to bleb of MMC augmented trabeculectomies, followed by bleb massage regimen. These blebs had increasing bleb vascularity and intraocular pressure (IOP), along with a reduction in bleb height and extent at 2 weeks to 1 month postoperatively. After Inj MMC and bleb massage regimen, a reduction in IOP in the range of 4 to 11 mm Hg at 1 month post-injection, along with improvement in bleb morphology as per the Indiana Bleb Appearance Grading Score, was noted. There were no complications or adverse effects noted in two cases, which were followed up till 1 year post-injection, and one case, which was followed up till 2 years post-injection.
Fields of Study & Subjects
Glaucoma and retinal disorders
Corneal surgery and disorders
Ocular Infections and Treatments
Publication details
- Journal / source
- Indian Journal of Ophthalmology - Case Reports
- Volume
- 6
- Issue
- 1
- Pages
- 74–78
- Publication date
- 1 January 2026
- Language
- EN