Posters

No topical steroids after phacoemulsification: high on compliance

Poster Details

First Author: D. Dutta INDIA

Co Author(s):                        

Abstract Details

Purpose:

Use intracameral triamcinolone(TA) after PHACO to improve patient comfort and compliance

Setting:

Disha Eye Hospitals Hooghly West Bengal India

Methods:

It is a prospective randomised masked study.Only normal eyes with senile cataracts upto grade 3 were enrolled. 5423 eyes of 5022 patients undergoing phaco were randomized into two groups.After surgery,eyes in group A received 2mg/0.1 ml TA in anterior chamber. Group B received topical prednisolone acetate 1% drops in tapering doses.Topical steroids were not used at all in groupA.To evaluate the efficacy of intracameral Triamcinolone acetonide, cells,flare and cilliary injection were noted on postop days 1,10,30&90 by slit-lamp.The safety and efficacy of intracameral TA was evaluated by visual acuity,IOP values.Patient comfort was assessed by a questionare.

Results:

Both treatments were equally effective in controlling postoperative inflammation following phacoemulsification.No statistically significant differences(p ≥ 0.05) between groups were observed for the efficacy, safety and tolerance variables, and no serious adverse events were observed.There were no statistically significant (p ≥ 0.05)differences in mean V A and the amount of anterior chamber cells and flarebetween the two groups at any postoperative visit. 3.2%patients had increase of IOP which was controlled in all cases by 0.5%timolol maleate.

Conclusions:

Intracameral Triamcinolone of 2 mg can effectively be used to control postoperative inflammation after uncomplicated phaco.The dosage and duration of topical steroids is reduced.No tear film disruption and patient is happy.The anterior chamber is cloudy immedietly after operation and takes a couple of hours to clear.

Financial Disclosure:

NONE