Intracameral triamcinolone helps to visualize and remove the vitreous body in anterior chamber in cataract surgery
Intracameral triamcinolone helps to visualize and remove the vitreous body in anterior chamber in cataract surgery
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DOI：
10.1016/j.ajo.2004.05.033
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发表时间：
2004-10-01
影响因子：
4.2
通讯作者：
Sakamoto, T
中科院分区：
文献类型：
--
作者：
Yamakiri, K;Uchino, E;Sakamoto, T
目的：研究前房内注射曲安奈德对白内障手术中前房玻璃体可视化和清除的影响。设计：观察病例系列。方法：6例患者的6只眼在白内障手术中后囊破裂，玻璃体脱垂或嵌顿到前房。为了使玻璃体可视化，将曲安奈德溶液注入前房并切除玻璃体。结果：玻璃体在手术显微镜下观察良好，手术安全、完整。术后观察到最低程度的炎症，患者获得了良好的视力。无严重并发症发生。1只眼眼压升高（40 mm Hg），经前房冲洗后眼压恢复正常。结论：在白内障手术中，前房内适当使用曲安奈德有利于玻璃体从前房中脱出，充分冲洗前房是避免并发症的必要措施。(C)2004年，Elsevier Inc. All rights reserved.
AIM: To study the effects of intracameral injection of triamcinolone acetonide on visualizing and removing the vitreous body from the anterior chamber in cataract surgery.DESIGN: Observational case series.METHODS: Six eyes of six patients had the posterior capsule ruptured and the vitreous body prolapsed or incarcerated into the anterior chamber during cataract surgery. To visualize vitreous body, triamcinolone acetonide solution was injected into the anterior chamber and the vitreous body was resected. The intraoperative findings, results, and complications were evaluated.RESULTS: Vitreous body was well observed under surgical microscopy and was resected safely and completely. Minimum inflammation was observed postoperatively, and the patients obtained good visual acuity. No serious complications were found. One eye showed increased intraocular pressure (40 mm Hg), which was normalized by additional washing of the anterior chamber.CONCLUSIONS: Appropriate use of intracameral triamcinolone acetonide is beneficial to visualize and remove the vitreous body from the anterior chamber during cataract surgery, and sufficient washing of the anterior chamber is necessary to avoid complications. (C) 2004 by Elsevier Inc. All rights reserved.