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Severe intraocular pressure rise following intravitreal triamcinolone: a national survey to estimate incidence and describe case profiles
- Source :
- Eye (London, England). 28(4)
- Publication Year :
- 2013
-
Abstract
- The objective of this study is to estimate the incidence of steroid-induced severe intraocular pressure (IOP) rise following intravitreal triamcinolone acetonide (IVTA) injection and to describe case profiles of the patients affected within the United Kingdom.A national survey was carried out to identify cases that had developed severe IOP rise requiring laser or surgery following IVTA through the British Ophthalmic Surveillance Unit. Respondents were mailed a questionnaire and with a follow-up questionnaire 1 year later, to ascertain characteristics of the patients identified. We also carried out a midpoint survey to ascertain national practice of IVTA at the time.There were 29 confirmed reports of severe IOP rise after IVTA in the 13-month period of surveillance. All the cases were unilateral and the mean time between the IVTA and the maximum recorded IOP was 16 weeks. Six of these patients had pre-existing glaucoma or ocular hypertension, and a further two were known to be 'steroid responders'. Using the adjusted denominators, obtained from our national survey, the estimated annual incidence would be between 3.6 and 9.5 per 1000 injections.These results confirm that severe IOP rise after IVTA is an uncommon but serious complication. Data obtained from this national study should aid clinicians in choosing the treatment best suited to their patients.
- Subjects :
- Adult
Male
medicine.medical_specialty
Triamcinolone acetonide
genetic structures
Anti-Inflammatory Agents
Ocular hypertension
macromolecular substances
Triamcinolone
Ophthalmology
medicine
Humans
Intraocular Pressure Rise
Glucocorticoids
Aged
Aged, 80 and over
Intravitreal triamcinolone
business.industry
Incidence (epidemiology)
Incidence
Middle Aged
medicine.disease
eye diseases
United Kingdom
Surgery
Intravitreal Injections
Clinical Study
Female
Ocular Hypertension
sense organs
business
medicine.drug
Subjects
Details
- ISSN :
- 14765454
- Volume :
- 28
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Eye (London, England)
- Accession number :
- edsair.doi.dedup.....ae9651dab2d165157d441bc96b12521e