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See also comment(s) by Jost Jonas •
PURPOSE: To report the trends in intraocular pressures (IOP) within the first week after intravitreal injection of triamcinolone acetonide (Kenalog) for the treatment of retinal disease. DESIGN: Retrospective chart review. METHODS: Review of 43 consecutive patients and 50 intravitreal injections of 4 mg triamcinolone acetonide. Analysis of the effect on IOP was performed. RESULTS: The mean preinjection IOP was 14.60 ± 3.71 mmHg (mean ± SD) (range, 9 to 26 mmHg). The mean postinjection IOP (30 minutes after injection) was 19.64 ± 7.43 mmHg (range, 5 to 45 mmHg). Mean IOP change before and after injection was 4.83 ± 7.10 mmHg. The mean IOP one to two days after injection was 15.32 ± 4.41 mmHg (range, 6 to 27 mmHg). The mean IOP five to seven days after injection was 15.94 ± 4.86 mmHg (range, 5 to 28 mmHg). CONCLUSIONS: Intravitreal triamcinolone acetonide injection in this limited series does not cause a marked increase in IOP within the first week after the procedure.
Dr. E.W. Lee, University of Chicago School of Medicine, Department of Ophthalmology and Visual Science, Chicago, Illinois 60637, USA
9.4.1 Steroid-induced glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)