{"title":"Hidden complication: retained cellulose sponge following trabeculectomy with subconjunctival mitomycin C.","authors":"Elif Ertan","doi":"10.1007/s10792-025-03487-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To report a rare complication of trabeculectomy with adjunctive mitomycin C (MMC) application due to the retention of a cellulose sponge fragment.</p><p><strong>Methods: </strong>A 62-year-old male patient with pseudoexfoliative glaucoma presented with discomfort in the right eye. Examination revealed a retained sponge eroding the conjunctiva, located 4-5 mm posterior to the limbus. The sponge was removed without complications, and topical steroids and antibiotics were prescribed.</p><p><strong>Results: </strong>The conjunctival area healed spontaneously within 10 days, with complete resolution of inflammation by one month. Follow-up at one year showed no deterioration in bleb formation or increase in intraocular pressure.</p><p><strong>Conclusion: </strong>This case highlights a rare complication associated with MMC use in glaucoma surgery. It underscores the importance of careful sponge removal to prevent retention and the necessity of close postoperative monitoring to identify complications early.</p>","PeriodicalId":14473,"journal":{"name":"International Ophthalmology","volume":"45 1","pages":"125"},"PeriodicalIF":1.4000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10792-025-03487-5","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To report a rare complication of trabeculectomy with adjunctive mitomycin C (MMC) application due to the retention of a cellulose sponge fragment.
Methods: A 62-year-old male patient with pseudoexfoliative glaucoma presented with discomfort in the right eye. Examination revealed a retained sponge eroding the conjunctiva, located 4-5 mm posterior to the limbus. The sponge was removed without complications, and topical steroids and antibiotics were prescribed.
Results: The conjunctival area healed spontaneously within 10 days, with complete resolution of inflammation by one month. Follow-up at one year showed no deterioration in bleb formation or increase in intraocular pressure.
Conclusion: This case highlights a rare complication associated with MMC use in glaucoma surgery. It underscores the importance of careful sponge removal to prevent retention and the necessity of close postoperative monitoring to identify complications early.
期刊介绍：
International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.
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