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Abstract #12212 Published in IGR 7-2
Ocular complications after a sub-tenon injection of triamcinolone acetonide for uveitis
Kuo H-K; Lai I-C; Fang P-C; Teng M-CChang Gung medical journal 2005; 28: 85-89
BACKGROUND: The purpose of this study was to evaluate the complications of a sub-Tenon injection of triamcinolone acetonide in patients with uveitis. METHODS: We retrospectively reviewed the records of uveitis cases treated from 1999 to 2003 in Kaohsiung Chang Gung Memorial Hospital. Thirty patients (45 eyes), who received a sub-Tenon injection of 0.5 ml of a triamcinolone acetonide suspension for uveitis control, were included, and 16 (26 eyes) of these patients underwent intraocular pressure (IOP) monitoring for over 3 months after the procedure. RESULTS: The incidence of ocular penetration was 1.6% and of rapidly progressive cataracts was 13.3%. The incidence of ocular hypertension ( > 21 mmHg) was 76.9% (20/26). The ocular hypertension in most cases was controlled with topical medications, with recovery of normal IOP. Long-term topical antiglaucoma medication was given for 3 eyes, and another 3 eyes (11.5%) received a trabeculectomy performed by glaucoma specialists. The incidence of glaucoma during the follow-up period after treatment is 23.1% (6/26). CONCLUSIONS: The 23.1% incidence of glaucoma in this study is higher than expected. Careful pretreatment evaluation and post-treatment monitoring of IOP are mandatory for patients with uveitis receiving a sub-Tenon injection of triamcinolone acetonide.
Dr. M.-C. Teng, Department of Ophthalmology, Chang Gung Memorial Hospital, 123, Dabi Road, Niaosung Shiang, Kaohsiung, 833, China
Classification:
11.15 Other drugs in relation to glaucoma (Part of: 11 Medical treatment)
