Effect of intracameral triamcinolone acetonide on postoperative intraocular inflammation in pediatric traumatic cataract.
OBJECTIVE
To study the effect of a single intracameral injection of triamcinolone acetonide at the end of pediatric traumatic cataract surgery on postoperative inflammation.


METHODS
This prospective interventional study comprised 40 eyes of children with unilateral traumatic cataract. Patients were classified into 2 groups: the study group, in which intraoperative intracameral triamcinolone acetonide (2 mg) was used at the end of surgery; and a control group, which did not receive intracameral triamcinolone acetonide.


RESULTS
The study group included 20 eyes of patients with an average age of 6 ± 2.8 years. The control group included 20 eyes of patients with an average age of 6 ± 2.1 years. No serious intraoperative complications occurred. In the immediate postoperative period, 3 eyes of the control group (15.0%) developed a fibrinous anterior chamber reaction. None of the study group eyes developed a similar reaction. There were no cases of endophthalmitis. In addition, 3 eyes (15%) in the control group had obscuration of the visual axis at the last follow-up. This complication was not encountered in the study group. Posterior synechiae and cellular deposits were observed in 4 eyes (20%) in the study group and 8 eyes (40%) in the control group at 1 month and at the last follow-up.


CONCLUSIONS
The use of intracameral triamcinolone decreased anterior segment inflammation postoperatively in children who had surgery for traumatic cataract.
Ophthalmology Department, Assiut University Hospital, Assiut - Egypt.
Tarek A
TA
Mohamed
Ophthalmology Department, Assiut University Hospital, Assiut - Egypt.
Wael
W
Soliman
Ophthalmology Department, Assiut University Hospital, Assiut - Egypt.
Ahmed M
AM
Fathalla
D000867:Anterior Chamber / Q000187:drug effects; D019923:Capsulorhexis; D002386:Cataract / Q000209:etiology / Q000628:therapy*; D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D056965:Injections, Intraocular; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000293:injuries*; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy; D011446:Prospective Studies; D014222:Triamcinolone Acetonide / Q000627:therapeutic use*; D014606:Uveitis, Anterior / Q000188:drug therapy* / Q000209:etiology; D014821:Vitrectomy
D005938:Glucocorticoids; D014222:Triamcinolone Acetonide