Document Detail


Ocular complications after a sub-tenon injection of triamcinolone acetonide for uveitis.
MedLine Citation:
PMID:  15880983     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hsi-Kung Kuo; Ing-Chou Lai; Po-Chiung Fang; Mei-Ching Teng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chang Gung medical journal     Volume:  28     ISSN:  2072-0939     ISO Abbreviation:  Chang Gung Med J     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-05-09     Completed Date:  2005-06-02     Revised Date:  2008-12-16    
Medline Journal Info:
Nlm Unique ID:  101088034     Medline TA:  Chang Gung Med J     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  85-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan 833, ROC.
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MeSH Terms
Descriptor/Qualifier:
Glaucoma / chemically induced*
Glucocorticoids / adverse effects*
Humans
Intraocular Pressure / drug effects
Retrospective Studies
Triamcinolone / adverse effects*
Uveitis / drug therapy*
Chemical
Reg. No./Substance:
0/Glucocorticoids; 124-94-7/Triamcinolone

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