医学
曲安奈德
黄斑水肿
超声乳化术
丙酮
葡萄膜炎
白内障
白内障手术
皮质类固醇
眼科
白内障摘除术
外科
视力
作者
Muhammad Usman Jamil,Uzma Naz,Saliha Naz
标识
DOI:10.1080/09273948.2023.2198598
摘要
Background This prospective experimental study was conducted on 40 eyes of 40 patients with complicated uveitic cataracts to compare a single intraoperative intravitreal injection of triamcinolone acetonide (IVTA) with oral steroids for inflammation control after cataract extraction.Methods The IVTA group (19 eyes) received an intravitreal injection of 4 mg/0.1 ml triamcinolone acetonide intraoperatively, and the oral steroid group (19 eyes) received oral steroids peri-operatively. Two patients had to be excluded from the study because they underwent extracapsular cataract extraction (ECCE), instead of phacoemulsification.Results A statistically significant difference was observed in the anterior chamber cell and flare response between both groups initially, but by the last follow-up, this became insignificant. None of the patients in each group experienced a recurrence of uveitis nor developed cystoid macular edema. Five patients in the oral steroid group had IOP >21 mmHg post-operatively.Conclusion A single injection of 4 mg IVTA has similar efficacy to peri-operative oral steroid administration.
科研通智能强力驱动
Strongly Powered by AbleSci AI