title: The Effect of Adjuvant Intracameral Triamcinolone Acetonide on the Surgical Results of Trabeculectomy with Mitomycin C.
abstract: OBJECTIVE
  To evaluate the effect of adjuvant intracameral triamcinolone acetonide (TA) on the surgical results of trabeculectomy with mitomycin C.
  
  
  METHODS
  All consecutive trabeculectomy cases performed in the glaucoma clinic between July 2012 and December 2013 were retrospectively reviewed from the patient charts. Only those with follow-up of 12 months or longer were included. Patients with intraoperative intracameral TA (study group, n=19) were compared to those without TA (control group, n=21) in terms of surgical success, intraocular pressure (IOP) change, medication use and complications.
  
  
  RESULTS
  Forty eyes of 31 patients (21 male/10 female, mean age 64.2±13.8 years) were included in the study. The mean follow-up period was 20.9±5.1 months and 20.7±6.7 months in the study and control groups, respectively (p=0.830). Baseline IOP was 26.4±9.9 and 25.2±7.6 mmHg (p=0.979), and final IOP was 12.7±2.6 and 13.6±3 mmHg in both groups respectively (p=0.226). At the final follow-up, complete success was observed in 68.4% and 52.4% of the study and control groups (p=0.349) and anti-glaucoma medication was used by 31.6% (mean number of medications: 0.79±1.2) and 47.6% (mean number of medications: 1.33±1.7), respectively (p>0.05). Bleb encapsulation, leakage, suture-lysis and hypotony rates were similar in both groups (for all, p>0.05). Cataract progression was noted in six (35.3%) and in five (26.3%) of the phakic eyes in the study and control groups, respectively (p=0.720).
  
  
  CONCLUSIONS
  When used intracamerally, TA did not increase the complication rate in trabeculectomy surgery. Although the group that received TA showed lower IOP levels, use of fewer medications and fewer eyes requiring medication, the differences did not reach significance.
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Neşe
authors.initials: N
authors.lastname: Alagöz
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Alagöz
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yıldırım
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Ceren
authors.initials: C
authors.lastname: Yeşilkaya
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Çiğdem
authors.initials: Ç
authors.lastname: Altan
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Ercüment
authors.initials: E
authors.lastname: Bozkurt
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Banu
authors.initials: B
authors.lastname: Şatana
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Berna
authors.initials: B
authors.lastname: Başarır
authors.affiliation: Beyoğlu Eye Training and Research Hospital, İstanbul, Turkey.
authors.forename: Muhittin
authors.initials: M
authors.lastname: Taşkapılı
keywords: Intracameral triamcinolone acetonide; surgical success; trabeculectomy