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BACKGROUND AND OBJECTIVE: GGRGDSPCA synthetic peptide competes for integrin receptor in scar formation after glaucoma filtering surgery in a rabbit model. The purpose of this study was to evaluate the use of this peptide and to compare it with mitomycin on glaucoma filtering surgery. MATERIAL AND METHODS: Posterior sclerectomy was performed in both eyes of 17 rabbits. The right eye received GGRGDSPCA (p605) at 0, 4, 8, 12, and 16 days after. Nine left eyes received saline as a control; the remaining eight eyes received mitomycin C at 0.5 mg/m intraoperatively. Intraocular pressures and biomicroscopy were evaluated, as well as bleb function. RESULTS: Intraocular pressure decreased significantly in both the peptide and mitomycin treated eyes in comparison with the saline group (p = 0.0003). Pressure was similar in both groups. The blebs showed filtrating function in a functional analysis on days 21 and 41 in the mitomycin cases as well as in the peptide group. Histological analysis performed in both peptide and mitomycin groups showed inhibitory effect in fibrocellular and collagen organization with bleb formation. CONCLUSIONS: The p605 peptide showed to be similar to mitomycin C in controlling and improving glaucoma filtering surgery in rabbits. This alternative may potentially be useful for similar purposes in humans for the control of glaucoma and improvement of filtering surgery.
Dr M. Avila, Departamento de Oftalmologia, Hospital San Juan de Dios, Avenida 1, 10-01, Santa Fe de Bogota, Colombia
12.8.10 Woundhealing antifibrosis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)