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Efficacy of Mitomycin C in Endoscopic Dacryocystorhinostomy: A Systematic Review and Meta-Analysis

This study has been completed.
Wenzhou Medical University
Information provided by (Responsible Party):
Yifan Feng, Wenzhou Medical University Identifier:
First received: January 16, 2013
Last updated: February 12, 2014
Last verified: February 2014
To assess the efficacy and safety of local application of intraoperative mitomycin C (MMC) at osteotomy site in endoscopic dacryocystorhinostomy(EN-DCR).


Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Retrospective
Official Title: Efficacy of Mitomycin C in Endoscopic Dacryocystorhinostomy: A Systematic Review and Meta-Analysis

Resource links provided by NLM:

Further study details as provided by Wenzhou Medical University:

Primary Outcome Measures:
  • success rate [ Time Frame: 6 months ]
    Success was determined by the presence of any one of the following: (1) patent lacrimal passage on syringing, (2) symptomatic improvement, and (3) endoscopic visualisation of fluorescein dye at the nasal opening of the anastomoses.

Secondary Outcome Measures:
  • ostium size [ Time Frame: 12 months ]
    Change of ostium size at 3-, 6- and 12-month postoperatively

Estimated Enrollment: 400
Study Start Date: December 2012
Study Completion Date: February 2014
Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
MMC group
patients were scheduled to undergo Endoscopic dacryocystorhinostomy with intraoperative MMC
Control group
patients were scheduled to undergo Endoscopic dacryocystorhinostomy without intraoperative MMC

Detailed Description:

Mitomycin C (MMC) is an antineoplastic agent that inhibits the synthesis of DNA, cellular RNA, and protein by inhibiting the synthesis of collagen by fibroblasts. MMC was originally used as a systemic chemotherapeutic agent, it has been widely used in ophthalmic practice both intraoperatively and postoperatively for prevention of pterygium recurrence, enhancing the success rate of glaucoma filtration surgery. Recently, use of MMC has been described in lacrimal drainage surgery. It is postulated that adjunctive use of MMC over the osteotomy site in endoscopic dacryocystorhinostomy(EN-DCR)surgery could inhibit scarring and granulation tissue formation around the osteotomy site or common canaliculus and enhance the success of EN-DCR surgery.

Many controlled trials have investigated adjunctive MMC for primary or revision EN-DCR to augment the surgical success rate, but the results are not completely consistent. To the best of our knowledge, there was no meta-analysis on comparison of success rate of EN-DCR with MMC (MMC group) and endoscopic dacryocystorhinostomy without MMC (control group). Therefore, the aim of this study was to undertake systematic review and meta-analysis to evaluate the efficacy of intraoperative MMC application in EN-DCR surgery and help ophthalmologists to determine whether it is a useful adjuvant in EN-DCR surgery.


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients were scheduled to undergo endoscopic dacryocystorhinostomy and randomized to with and without MMC

Inclusion Criteria:

  1. comparative studies;
  2. adult patients (> 18 years) with NLDO undergoing primary or revision EN-DCR;
  3. all studies included were required to provide the success rates of both MMC and control groups, and the followed up time was more than 6 months.

Exclusion Criteria:

  1. studies which did not provide the success rates;
  2. studies which included pediatric cases.
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Please refer to this study by its identifier: NCT01772277

China, Zhejiang
Wenzhou Medical College
Wenzhou, Zhejiang, China, 325000
Sponsors and Collaborators
Yifan Feng
Wenzhou Medical University
Principal Investigator: Shiming Cheng, MD Eye Hospital, Wenzhou Medical College, China
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Yifan Feng, Eye Hospital, Wenzhou Medical College, China, Wenzhou Medical University Identifier: NCT01772277     History of Changes
Other Study ID Numbers: F20130115
Study First Received: January 16, 2013
Last Updated: February 12, 2014

Keywords provided by Wenzhou Medical University:
Endoscopic dacryocystorhinostomy
Mitomycin C

Additional relevant MeSH terms:
Lacrimal Apparatus Diseases
Eye Diseases
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Antibiotics, Antineoplastic
Antineoplastic Agents
Nucleic Acid Synthesis Inhibitors
Enzyme Inhibitors processed this record on May 22, 2017