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A Comparison of the Dexamethasone Implant (Ozurdex®) and Inferior Fornix-Based Sub-Tenon Triamcinolone Acetonide for Treatment of Inflammatory Ocular Diseases.

Authors :
Errera, Marie-Hélène
Westcott, Mark
Benesty, Jonathan
Falah, Sabrina
Smadja, Jérôme
Orès, Raphaëlle
Pratas, Ana C.
Sedira, Neila
Bensemlali, Amine
Héron, Emmanuel
Goldschmidt, Pablo
Bodaghi, Bahram
Sahel, José-Alain
Source :
Ocular Immunology & Inflammation. 2019, Vol. 27 Issue 2, p319-329. 11p.
Publication Year :
2019

Abstract

<bold>Purpose: </bold>To evaluate the efficacy and safety of dexamethasone (DEX) implant compared with inferior fornix-based sub-Tenon triamcinolone injection (PSTA) for treatment of uveitis.<bold>Methods: </bold>A total of 48 eyes received DEX and 49 eyes received PSTA as the first treatment.<bold>Results: </bold>A total of 31 eyes were implanted with DEX relapsed (64.5%) after the first injection, while 32 eyes were injected with PSTA as the first treatment relapsed (65.3%). Kaplan-Meier estimated survival to overall relapse after the first injection was a mean 20 months± 3.6 months for DEX (median,7) and 14 months± 1.9 months (median,9) for the PSTA (P = 0.505). Of 49 eyes receiving the PSTA implant as the first treatment, inflammation persisted in 14.3% after the first injection but persisted in none after the DEX injection (P = 0.005).<bold>Conclusions: </bold>DEX implantation achieved a higher rate of disease control in the initial 12 weeks postinjection with a relative equivalence in the duration of effect and relapse rates when compared with PSTA. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09273948
Volume :
27
Issue :
2
Database :
Academic Search Index
Journal :
Ocular Immunology & Inflammation
Publication Type :
Academic Journal
Accession number :
136340131
Full Text :
https://doi.org/10.1080/09273948.2018.1501492