Document Detail


Treatment of persistent glaucoma secondary to periocular corticosteroids.
MedLine Citation:
PMID:  8694104     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe two patients with uveitis who developed increased intraocular pressure that was unresponsive to maximum medical therapy eight and 13 months after periocular injection of triamcinolone acetonide. METHODS: Excised periocular tissue was analyzed for corticosteroid activity by gas chromatography and mass spectrometry. RESULTS: Excision of the periocular tissue, which contained visible triamcinolone acetonide, resulted in a normal intraocular pressure within 14 days in both patients. Analysis of the excised tissue disclosed residual corticosteroid in one of the two patients. CONCLUSION: Removal of periocular tissue containing injected corticosteroids may facilitate the management of patients developing increased intraocular pressure unresponsive to maximum medical therapy.
Authors:
L Akduman; A E Kolker; D L Black; L V Del Priore; H J Kaplan
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  122     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-08-27     Completed Date:  1996-08-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  275-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO 63110-1096, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents / adverse effects*,  therapeutic use
Antihypertensive Agents / therapeutic use
Child
Fascia / surgery
Glaucoma / chemically induced,  therapy*
Humans
Injections
Intraocular Pressure
Male
Middle Aged
Ocular Hypertension / chemically induced,  therapy
Orbit / drug effects,  surgery
Triamcinolone Acetonide / adverse effects*,  therapeutic use
Uveitis / complications,  drug therapy
Grant Support
ID/Acronym/Agency:
EY02687/EY/NEI NIH HHS
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Antihypertensive Agents; 76-25-5/Triamcinolone Acetonide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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