Efficacy of Anterior Chamber Paracentesis in Intravitreal Triamcinolone Injection.
- Author:
Min Su CHUNG
1
;
Woo Hyok CHANG
Author Information
1. Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. changwh@yumail.ac.kr
- Publication Type:Clinical Trial ; Original Article ; Randomized Controlled Trial
- Keywords:
Intraocular pressure;
Intravitreal injection;
Paracentesis;
Triamcinolone acetonide
- MeSH:
Anterior Chamber*;
Humans;
Intraocular Pressure;
Intravitreal Injections;
Paracentesis*;
Prospective Studies;
Reference Values;
Triamcinolone Acetonide;
Triamcinolone*
- From:Journal of the Korean Ophthalmological Society
2005;46(8):1328-1332
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate the efficacy of anterior chamber paracentesis in intravitreal triamcinolone acetonide injection (IVTA). METHODS: A prospective, randomized clinical trial was conducted on 30 eyes of 30 patients undergoing IVTA. Eyes were randomly divided into two groups, those which had undergone anterior chamber paracentesis (Group 1, 15 eyes) and those which had not (Group 2, 15 eyes). We analyzed postoperative changes in intraocular pressure (IOP) in each group. RESULTS: In group 1, the mean preoperative IOP was 15.33+/-1.72 mmHg; postoperative IOP at 2 and 15 minutes was 7.80+/-1.47 and 11.73+/-1.67 mmHg, respectively. In group 2, there was significant elevation of IOP (46.73+/-8.26 mmHg) 2 minutes after the injection, although this was reduced to the normal range (16.13+/-2.61 mmHg) within 15 minutes. CONCLUSIONS: Routine anterior chamber paracentesis seems to be inappropriate considering the brief elevation in IOP that immediately follows IVTA.