Intracameral triamcinolone acetonide after pediatric cataract surgery

J Cataract Refract Surg. 2010 Oct;36(10):1676-81. doi: 10.1016/j.jcrs.2010.04.038.

Abstract

Purpose: To assess the use of preservative-free intracameral triamcinolone as an adjunct to topical steroidal agents after pediatric cataract surgery.

Setting: Children's University Hospital, Dublin, Ireland.

Design: Retrospective case series.

Methods: From the 2008 to 2009, intracameral preservative-free triamcinolone 4 mg/0.1 mL (Triesence) was used immediately after cataract surgery. Clinical indices of anterior segment inflammation were assessed at 1, 7, 14, 21 days and at 6 weeks postoperatively.

Results: There were no complications secondary to triamcinolone use in 36 eyes of 26 children. In all but 1 case, intracameral triamcinolone was highly effective in controlling postoperative inflammation after pediatric cataract surgery, resulting in quiet eyes with few inflammatory signs (grade 0 to 1).

Conclusion: Intracameral triamcinolone provided a safe and useful adjunct to topical steroid drops after pediatric cataract surgery.

MeSH terms

  • Administration, Topical
  • Adolescent
  • Anterior Chamber / drug effects*
  • Cataract Extraction*
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Glucocorticoids / administration & dosage*
  • Humans
  • Infant
  • Male
  • Postoperative Complications / prevention & control
  • Prednisolone / administration & dosage
  • Prednisolone / analogs & derivatives
  • Preservatives, Pharmaceutical
  • Retrospective Studies
  • Triamcinolone Acetonide / administration & dosage*
  • Uveitis, Anterior / prevention & control*

Substances

  • Glucocorticoids
  • Preservatives, Pharmaceutical
  • prednisolone acetate
  • Prednisolone
  • Triamcinolone Acetonide