INTRAVITREAL TRIAMCINOLONE ACETONIDE IN CHRONIC REFRACTORY UVEITIS

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NILI AHMADABADI MAHDI; BEHNIA M.; KARKHANEH R.; FARAHVASH M.S.; FAGHIHI HOUSHANG; TABATABAEI ALI; RIAZI M.; MIRSHAHI AHMAD; LASHIEI A.; MANSOURI MOHAMMAD REZA; JAVADIAN A.; ALAMI HARANDI Z.; MOVASAT M.; SHAMS HORMOZ

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Journal: BINA Year:2007 | Volume:12 | Issue:2 (47) Page(s): 141-150

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Title

INTRAVITREAL TRIAMCINOLONE ACETONIDE IN CHRONIC REFRACTORY UVEITIS

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Abstract

Purpose: To evaluate the effect of intravitreal triamcinolone acetonide injection for management of chronic refractory uveitis in terms of inflammation, visual acuity and macular thickness.Methods: This interventional case series was conducted on uveitic eyes with no remission despite proper administration of periocular and/or systemic steroids. After systemic and rheumatologic evaluations and confirmation of non-infectious nature of uveitis, 18 eyes of 10 patients underwent intravitreal injection of 4 mg triamcinolone acetonide. Changes in intraocular inflammation, best corrected visual acuity (BCVA), intraocular pressure (IOP) and macular thickness on optical coherence tomography were assessed during six months of follow-up.Results: Mean BCVA increased from a baseline value of 0.81±0.29 to 0.35±0.33 LogMAR one week and to 0.17±0.07LogMAR one month after the injection, respectively (p<0.001). It decreased thereafter to 0.46±0.3 LogMAR at the sixth month visit, but was still significantly greater than the baseline value (P<0.001). Mean IOP reached its maximum level one month post-injection with an increase of 7.36±0.48 mmHg compared to the baseline value, however only two eyes had IOP>22 mmHg which were successfully controlled using topical IOP-lowering medication. Mean central macular thickness decreased from 339.8±24.1mm to its minimum value (197.18±12.7mm) one month after the injection (P<0.001) and then increased to 203.57±9.06 mm at sixth month visit, still less than the baseline value (p<0.001).Conclusion: lntravitreal injection of triamcinolone acetonide in chronic refractory uveitis improves visual acuity and decreases central macular thickness which is sustained for at least six months. The only noticeable complication, transient IOP elevation can be controlled with topical medications.

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APA: Copy

NILI AHMADABADI, MAHDI, BEHNIA, M., KARKHANEH, R., FARAHVASH, M.S., FAGHIHI, HOUSHANG, TABATABAEI, ALI, RIAZI, M., MIRSHAHI, AHMAD, LASHIEI, A., MANSOURI, MOHAMMAD REZA, JAVADIAN, A., ALAMI HARANDI, Z., MOVASAT, M., & SHAMS, HORMOZ. (2007). INTRAVITREAL TRIAMCINOLONE ACETONIDE IN CHRONIC REFRACTORY UVEITIS. BINA, 12(2 (47)), 141-150. SID. https://sid.ir/paper/42737/en

Vancouver: Copy

NILI AHMADABADI MAHDI, BEHNIA M., KARKHANEH R., FARAHVASH M.S., FAGHIHI HOUSHANG, TABATABAEI ALI, RIAZI M., MIRSHAHI AHMAD, LASHIEI A., MANSOURI MOHAMMAD REZA, JAVADIAN A., ALAMI HARANDI Z., MOVASAT M., SHAMS HORMOZ. INTRAVITREAL TRIAMCINOLONE ACETONIDE IN CHRONIC REFRACTORY UVEITIS. BINA[Internet]. 2007;12(2 (47)):141-150. Available from: https://sid.ir/paper/42737/en

IEEE: Copy

MAHDI NILI AHMADABADI, M. BEHNIA, R. KARKHANEH, M.S. FARAHVASH, HOUSHANG FAGHIHI, ALI TABATABAEI, M. RIAZI, AHMAD MIRSHAHI, A. LASHIEI, MOHAMMAD REZA MANSOURI, A. JAVADIAN, Z. ALAMI HARANDI, M. MOVASAT, and HORMOZ SHAMS, “INTRAVITREAL TRIAMCINOLONE ACETONIDE IN CHRONIC REFRACTORY UVEITIS,” BINA, vol. 12, no. 2 (47), pp. 141–150, 2007, [Online]. Available: https://sid.ir/paper/42737/en

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