Reversal of steroid induced raised intraocular pressure following removal of subconjunctival triamcinolone for cataract surgery
| Autor: | Anant Sharma, Y. Athanasiadis, G.A.L. Nithyanandrajah, B. Kumar |
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| Rok vydání: | 2009 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Triamcinolone acetonide genetic structures medicine.medical_treatment Brinzolamide Anti-Inflammatory Agents Glaucoma Timolol Cataract Extraction Triamcinolone Dorzolamide Ophthalmology medicine Humans Intraocular Pressure Bimatoprost business.industry General Medicine Middle Aged Cataract surgery medicine.disease eye diseases Treatment Outcome Female Ocular Hypertension sense organs business Optometry medicine.drug |
| Zdroj: | Contact Lens and Anterior Eye. 32:143-144 |
| ISSN: | 1367-0484 |
| Popis: | A 56 year old myopic female underwent routine right cataract extraction and lens implant. There was no pre existing predisposition towards glaucoma. She was given 20 mg of subconjunctival triamcinolone acetonide (TA) (Kenalog, Bristol-Myers Squibb) and chloramphenicol drops qds for one week to the right eye post operatively. Her right intraocular pressure was 15 mmHg pre operatively and rose to 25 mmHg one month postoperatively. She was started on brinzolamide 2% drops (Azopt, Alcon) and then switched to timolol 0.5% and dorzolamide 2% drops (Cosopt, Merck Sharp & Dohme). The IOP was reduced to 19 mmHg. The optic disc was healthy. Five months post operation the right intraocular pressure rose to 40 mmHg whilst on Cosopt drops. She was started on oral acetazolamide (Diamox) SR 250 mg bd. Her right intraocular pressure was reduced to 33 mmHg the following day. Her Cosopt was switched to bimatoprost 0.03% and timolol 0.5% drops (Ganfort, Allergan) od, the diamox tablets were stopped and the intraocular pressure was 28 mmHg five days later. As the subconjunctival TA remained visible and the IOP remained at 28 mmHg on Ganfort od alone, it was decided at this point to surgically remove the TA. The right intraocular pressure reduced to 10 mmHg one week post removal of TA on Ganfort od. The Ganfort was stopped and the right IOP |
| Databáze: | OpenAIRE |
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