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KMID : 0213520090230010013
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Korean Journal of Ophthalmology
2009 Volume.23 No. 1 p.13 ~ p.16
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Intravitreal Triamcinolone Acetonide Injection at the Time of Pars Plana Vitrectomy for Retained Lens Material
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Kim Na-Rae
Yoon Jun-Ho
Kang Sung-Mo
Chin Hee-Seung
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Abstract
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Purpose: To report the experiences at our institute of pars plana vitrectomy (PPV) in combination with intravitreal
triamcinolone acetonide (IVTA) injection in patients with retained lens material after cataract surgery.
Methods: The medical records of patients who underwent PPV between January 2005 and December 2006 after
complicated cataract surgery in which lens material was dropped into the vitreous cavity were reviewed retrospectively.
Results: Five eyes of five patients were treated by vitrectomy and removal of the dislocated lens material and were administered an adjuvant intravitreal injection of 4 mg triamcinolone acetonide at the end of surgery. IVTA
administration induced a rapid improvement in vision within six weeks postoperatively. Final visual acuity was
20/32 or better in all patients. Inflammatory cystoid macular edema (CME) that existed preoperatively was
promptly improved after IVTA. Intraocular pressure increased transiently in one patient. No procedure-related
complications were observed.
Conclusion: PPV with additional IVTA was successfully performed in five eyes with retained lens material and
resulted in a marked resolution of vitreous inflammation, an improvement in CME and rapid visual recovery. The
authors recommend that IVTA administration should be investigated more thoroughly as an adjunct during the
management of retained lens material.
Korean J Ophthalmol 2009;23:13-16 ⓒ 2009 by the Korean Ophthalmological Society.
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KEYWORD
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Cataract, Cystoid macular edema, Dropped nucleus, Retained lens material, Triamcinolone acetonide
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