Triamcinolone-assisted vitrectomy in pediatric cataract surgery: intraoperative effectiveness and postoperative outcome

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Mamidipudi R PraveenRupal H Trivedi

Abstract

To evaluate intraoperative effectiveness and postoperative outcome of intracameral, preservative-free triamcinolone acetonide in pediatric cataract surgery. A prospective, interventional, observational case series was performed in children undergoing congenital cataract surgery. Three standardized applications of triamcinolone acetonide were used. Postoperatively, IOP, pachymetry, glaucoma, posterior synechiae, cell deposits, and posterior capsule opacification were studied at 1 week, 1 month, and 12 months after surgery. Mean age at the time of surgery was 14.8 +/- 12.2 months. Of 43 eyes, 5 were kept aphakic and 38 received IOL implantation. After manual posterior continuous curvilinear capsulorhexis and the first injection of triamcinolone, the anterior vitreous face disturbance was visualized as free-floating vitreous strands going into the incision in 18.6% of eyes (8 of 43). Triamcinolone was injected a second time after anterior vitrectomy: residual vitreous strands were identified and removed in 7 of these 8 eyes. Triamcinolone was used for a third time after IOL implantation: residual vitreous strands were identified in 5.3% of eyes (2 of 38). Mean IOP was 12.2 +/- 2.2 mm Hg preoperatively and was 13.6 +/- 3.2 at the 1...Continue Reading

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Citations

Dec 6, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·T HagerB Käsmann-Kellner
May 12, 2012·International Ophthalmology·Mehmet DemirErhan Ozdal
Aug 31, 2013·Journal of Cataract and Refractive Surgery·Abhay R VasavadaMamidipudi Praveen
Aug 10, 2010·Journal of Cataract and Refractive Surgery·Nirmit V DixitRupal H Trivedi
Nov 26, 2015·Journal of Cataract and Refractive Surgery·Mamidipudi R PraveenRupal H Trivedi
Dec 3, 2014·Archivos de la Sociedad Española de Oftalmología·J A AbreuJ J Aguilar
Dec 7, 2017·Indian Journal of Ophthalmology·Nicole Shu-Wen ChanSoon-Phaik Chee
Nov 22, 2013·Current Opinion in Ophthalmology·Shira L RobbinsDavid B Granet

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