title: Clinical outcomes of triamcinolone-assisted anterior vitrectomy after phacoemulsification complicated by posterior capsule rupture.
abstract: OBJECTIVE
  To compare the clinical outcomes in patients who had triamcinolone acetate-assisted anterior vitrectomy and patients who had anterior vitrectomy without triamcinolone acetate after phacoemulsification complicated by posterior capsule rupture and vitreous loss.
  
  
  METHODS
  Arrowe Park Hospital, Wirral, United Kingdom.
  
  
  METHODS
  Retrospective consecutive case note review.
  
  
  METHODS
  Consecutive case notes of patients who had anterior vitrectomy assisted by triamcinolone acetonide (triamcinolone group) or without triamcinolone acetate (no-triamcinolone group) after posterior capsule rupture between January 2007 and January 2011 were identified and examined. Data recorded at the clinic visit preoperatively and 1 day and 3 months postoperatively were collated. Information recorded on the pro forma included visual acuity, ocular comorbidities, intraocular pressure (IOP), vitreous strands in the anterior chamber, and other adverse events.
  
  
  RESULTS
  No statistically significant difference was found in the visual acuity or IOP between 17 patients in the triamcinolone group and 34 patients in the no-triamcinolone group at any time point. Vitreous strands in the anterior chamber were noted in 1 patient in the triamcinolone group and 7 patients in the no-triamcinolone group. Cystoid macular edema (CME) was present in 3 patients in the no-triamcinolone group, including 1 patient with vitreomacular traction.
  
  
  CONCLUSIONS
  There was no significant increase in IOP after triamcinolone acetate-assisted anterior vitrectomy. Higher rates of CME and residual anterior chamber vitreous strands in the no-triamcinolone acetate group support the clinical use of triamcinolone acetate.
authors: Arrowe Park Hospital, Wirral, United Kingdom.
authors: Shivani
authors: S
authors: Kasbekar
authors: Som
authors: S
authors: Prasad
authors: Balakrishna Vineeth
authors: BV
authors: Kumar
mesh_terms: D005901:Glaucoma / Q000150:complications; D005938:Glucocorticoids; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008269:Macular Edema / Q000150:complications; D018918:Phacoemulsification / Q000009:adverse effects*; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology*; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D013194:Staining and Labeling / Q000379:methods; D016896:Treatment Outcome; D014222:Triamcinolone Acetonide; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body / Q000473:pathology*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide