Congenital cataract surgery with intracameral triamcinolone: pre- and postoperative central corneal thickness and intraocular pressure.
OBJECTIVE
To evaluate the change in intraocular pressure (IOP) and central corneal thickness (CCT) of children who underwent congenital cataract surgery with injection of triamcinolone acetonide into the anterior chamber at the end of the procedure.


METHODS
Fifty-three eyes of 34 children <2 years of age who underwent congenital cataract surgery with injection of 1.2 mg/0.03 mL of preservative-free triamcinolone acetonide into the anterior chamber at the end of the procedure were included in this study. IOP and CCT were measured preoperatively and at a mean of 2 and 12 months' follow-up.


RESULTS
The mean IOP was 8.7 ± 0.4 mm Hg preoperatively, 8.4 ± 0.6 mm Hg at the 2-month follow-up, and 8.1 ± 0.3 mm Hg at the 12-month follow-up. The mean CCT was 562 ± 11 μm preoperatively, 563 ± 10 μm at the 2-month follow-up, and 570 ± 10 μm at the 12-month follow-up. There was no significant change in either pre- or postoperative IOP (P = 0.700) or CCT (P = 0.419) over the study period.


CONCLUSIONS
Injection of 1.2 mg triamcinolone acetonide at the end of congenital cataract surgery in children <2 years of age did not significantly affect IOP or CCT in the first year after surgery.
Department of Congenital Cataract, Altino Ventura Foundation, Recife, Brazil. marcelovhope@gmail.com
Marcelo Carvalho
MC
Ventura
Bruna Vieira
BV
Ventura
Camila Vieira
CV
Ventura
Liana Oliveira
LO
Ventura
Walton
W
Nosé
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D002386:Cataract / Q000151:congenital* / Q000473:pathology / Q000503:physiopathology; D002387:Cataract Extraction / Q000379:methods*; D003315:Cornea / Q000473:pathology; D063171:Corneal Pachymetry / Q000379:methods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D056965:Injections, Intraocular; D007429:Intraocular Pressure / Q000187:drug effects; D009883:Ophthalmic Solutions / Q000008:administration & dosage*; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D012189:Retrospective Studies; D014065:Tonometry, Ocular; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*
D000893:Anti-Inflammatory Agents; D009883:Ophthalmic Solutions; D014222:Triamcinolone Acetonide