TRABECULECTOMY WITH INTRAOPERATIVE SPONGE 5-FLUOROURACIL IN AFRO-CARIBBEAN

Aim-To study the efficacy and safety of intraoperative 5-fluorouracil (5-FU) in Afro-Caribbean patients. Methods-The results of trabeculecto my in 18 eyes of 18 Afro-Caribbean patients in whom a sponge soaked in 25 mg/ml solution of 5-FU was applied between Tenon's capsule and scl era for 5 minutes before excision of the trabecula were compared with 16 eyes of 16 Afro-Caribbean patients matched for age, quantity, and d uration of preoperative medications, who underwent trabeculectomy with out 5-FU. Results-The mean postoperative intraocular pressure (IOP) at 1 month was 15.6 (SD 6.1) mm Hg in the 5-FU group and 18.0 (5.2) mm H g in the control group (p = 0.15). There was no significant difference in the IOP at 6, 12, 15, 18, and 24 months in the two groups. Success rate at 18 months defined as an IOP less than or equal to 21 mm Hg wi th no adjunctive medication was 56% in the 5-FU group and 55% in the c ontrol group. No major complications were noted in either group. Concl usion-Intraoperative sponge 5-FU alone is safe but does not appear to decrease the risk of failure of trabeculectomy in Afro-Caribbeans.