玻璃体内注射曲安奈德治疗人工晶状体眼黄斑囊样水肿。
Intravitreal triamcinolone acetonide for pseudophakic cystoid macular edema.
作者信息
Jonas Jost B, Kreissig Ingrid, Degenring Robert F
机构信息
Department of Ophthalmology, Faculty for Clinical Medicine Mannheim, Ruprecht-Karls-University, Heidelberg, Germany.
出版信息
Am J Ophthalmol. 2003 Aug;136(2):384-6. doi: 10.1016/s0002-9394(03)00230-7.
PURPOSE
To report the clinical outcome of patients undergoing intravitreal injection of triamcinolone acetonide as treatment of long-standing cystoid macular edema after phacoemulsification.
DESIGN
Prospective clinical interventional cases series studies.
METHODS
The study included five patients suffering from cystoid macular edema after cataract surgery. They received an intravitreal injection of 25-mg crystalline triamcinolone acetonide transconjunctivally with topical anesthesia.
RESULTS
In the follow-up period of 6.6 +/- 4.1 months, visual acuity increased from 0.26 +/- 0.13 to a mean maximal visual acuity of 0.60 +/- 0.19. For all patients, visual acuity improved during the follow-up by at least 0.20. Two (40%) patients developed intraocular pressure values higher than 21 mm Hg, which could be controlled by topical antiglaucomatous treatment.
CONCLUSIONS
Intravitreal triamcinolone acetonide may be a therapeutic option for long-standing cystoid macular edema after cataract surgery.
目的
报告接受玻璃体内注射曲安奈德治疗白内障超声乳化术后长期存在的黄斑囊样水肿患者的临床结果。
设计
前瞻性临床干预病例系列研究。
方法
该研究纳入了5例白内障手术后患有黄斑囊样水肿的患者。他们在表面麻醉下经结膜接受了25毫克曲安奈德晶体的玻璃体内注射。
结果
在6.6±4.1个月的随访期内，视力从0.26±0.13提高到平均最大视力0.60±0.19。所有患者的视力在随访期间至少提高了0.20。两名（40%）患者眼压值高于21毫米汞柱，可通过局部抗青光眼治疗得到控制。
结论
玻璃体内注射曲安奈德可能是白内障手术后长期存在的黄斑囊样水肿的一种治疗选择。
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