Evidence map›Paper›PMID 42469711›Full record

ArticleBMC ophthalmology2026

Adjuvant mitomycin C during vitrectomy in young adults with primary nontraumatic rhegmatogenous retinal detachment and grade C proliferative vitreoretinopathy.

Erkan Duman, Aydin Macin, Ayşe Ergin

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Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Erkan DumanDepartment of Ophthalmology, West Eye Hospital, Erbil, Iraq. drerkanduman@gmail.com.ORCID http://orcid.org/0000-0003-0739-536X
Aydin MacinDepartment of Ophthalmology, West Hospital, Diyarbakir, Turkey.ORCID http://orcid.org/0009-0003-8210-294X
Ayşe ErginDepartment of Ophthalmology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-3593-0710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProliferative vitreoretinopathy (PVR) complicates 5-10% of rhegmatogenous retinal detachments (RRD) and remains a major cause of surgical failure. Intraoperative mitomycin C (MMC), a potent antiproliferative agent, may suppress postoperative PVR formation. This study evaluated the anatomical, functional, and safety outcomes of intraoperative MMC in young adults with primary RRD complicated by grade C PVR.

methodsThis retrospective cohort study included 126 eyes of patients aged 18-45 years with primary nontraumatic RRD and grade C PVR. All eyes underwent 25-gauge pars plana vitrectomy with silicone oil tamponade. Intraoperative MMC was administered in 61 eyes, while 65 eyes served as controls. The primary outcome was single-surgery anatomical success at 6 months. Secondary outcomes included final retinal reattachment, PVR progression, best-corrected visual acuity (BCVA), intraocular pressure (IOP) changes, silicone oil removal, and MMC-related adverse events.

resultsMMC-treated eyes showed significantly lower rates of postoperative PVR progression and reoperation than controls (P < 0.05). Primary and final reattachment rates and BCVA improvement were higher in the MMC group, although differences did not reach statistical significance. No clinically detectable retinal or optic nerve toxicity attributable to MMC was observed. Rates of elevated IOP, hypotony, cystoid macular edema, and intraocular inflammation were comparable between groups.

conclusionsIntraoperative adjuvant MMC was associated with reduced postoperative PVR progression and reoperation rates in young adults with primary RRD and grade C PVR. A favorable trend was also observed in anatomical and visual outcomes, suggesting that MMC may represent a promising adjunctive treatment strategy in selected high-risk patients.

Indexed as

Alkylating AgentsMitomycinRetinal DetachmentVitrectomyVitreoretinopathy, ProliferativeAdolescentAdultEndotamponadeFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSilicone OilsVisual AcuityAlkylating AgentsMitomycinSilicone OilsMitomycin CPars plana vitrectomyProliferative vitreoretinopathyRhegmatogenous retinal detachment

Identifiers

PMID42469711
PMCPMC13670750

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.