J Korean Ophthalmol Soc > Volume 49(1); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(1):91-97.
DOI: https://doi.org/10.3341/jkos.2008.49.1.91    Published online January 31, 2008.
The Intraocular Pressure Rise Secondary to Subtenon's Injection of Triamcinolone After Intravitreal Injection.
Wung Jae Kim, Young Hoon Park
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. parkyh@catholic.ac.kr
유리체내 트리암시놀론 주사 후 시행한 후테논낭하 트리암시놀론 주입술에서의 안압 상승
김웅재ㆍ박영훈
Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence:  Wung Jae Kim, M.D.
Abstract
PURPOSE
To evaluate the safety of posterior subtenon's injection of triamcinolone acetonide (PSTA) after intravitreal triamcinolone acetonide injection (IVTA). METHODS: We reviewed the charts of 34 patients who had previously treated with IVTA. Patients were categorized as steroid responder or non-responder. Responders were defined as having a relative intraocular pressure increase of 5 mmHg and absolute intraocular pressure greater than 24 mmHg. Relative risk of intraocular pressure was prospectively evaluated after PSTA. RESULT: Eighteen eyes were categorized as steroid responders after IVTA injection and sixteen eyes were categorized as non-responders. For the actual amount of increase in the intraocular pressures, the steroid responder group (39%) was shown to be statistically higher than the non-responder group (6%) (P=0.044). However, the mean pressure values did not show a significant difference (P>0.05). Only one eye required the use of glaucoma medications and the intraocular pressure remained normal after treatment. CONCLUSIONS: PSTA is a relatively safe treatment method after IVTA injection regardless of steroid responsiveness.
Key Words: Intraocular pressure;Subtenon injection;Triamcinolone acetonide


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