Hara T, Shirato S, Suzuki Y
Department of Ophthalmology, University of Tokyo School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 1998 Jul;102(7):425-30.
We measured mitomycin C (MMC) concentrations in rabbit ocular tissues, using high-performance liquid chromatography, after the subconjunctival application of surgical sponges which had absorbed various doses (0.1, 0.2 or 0.4 mg) of MMC and with varying duration of application (1, 3, or 5 minutes). MMC concentrations at the administered site showed a significant correlation with the dose and duration of application. In multiple regression analysis the MMC concentration (microgram/g) in the conjunctiva was -6.73 + 67.4 x dose (mg) + 1.66 x time (minutes) (R-square 0.65); in the sclera, -1.85 + 38.2 x dose + 0.927 x time (R-square 0.63); and in the corena, -0.727 + 8.44 x dose (R-square 0.46). We also compared the results of filtering surgery on rabbits using 0.2 mg MMC intraoperative exposure of 1, 3, 5 minutes or 5-minute application of distilled water (control). The duration of maintained intraocular pressure reduction and filtering bleb was significantly longer in MMC-treated group (1 minute; 15 +/- 7.1, 3 minutes; 27 +/- 14.3, 5 minutes; 29 +/- 18.6 days, mean +/- standard deviation) than in the control group (7 +/- 3.7 days). Among the MMC-treated groups, good results were maintained significantly longer in the 3- or 5-minute application groups than in the 1-minute group. There was no difference between the 3-minute group and the 5-minute group.
我们使用高效液相色谱法,测量了在结膜下应用吸收了不同剂量(0.1、0.2或0.4毫克)丝裂霉素C(MMC)且应用时间不同(1、3或5分钟)的手术海绵后,兔眼组织中的MMC浓度。给药部位的MMC浓度与应用剂量和时间呈显著相关性。在多元回归分析中,结膜中MMC浓度(微克/克)为-6.73 + 67.4×剂量(毫克)+ 1.66×时间(分钟)(决定系数0.65);巩膜中为-1.85 + 38.2×剂量 + 0.927×时间(决定系数0.63);角膜中为-0.727 + 8.44×剂量(决定系数0.46)。我们还比较了在兔身上进行滤过手术的结果,术中使用0.2毫克MMC暴露1、3、5分钟或应用5分钟蒸馏水(对照组)。MMC治疗组眼压降低和滤过泡维持的时间(1分钟;15±7.1天,3分钟;27±14.3天,5分钟;29±18.6天,平均值±标准差)明显长于对照组(7±3.7天)。在MMC治疗组中,3分钟或5分钟应用组的良好结果维持时间明显长于1分钟组。3分钟组和5分钟组之间没有差异。