2008, Number 6
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Rev Mex Oftalmol 2008; 82 (6)
Comparación de la presión intraocular en ojos con edema macular tratados con acetónido de triamcinolona intravítrea con y sin conservadores
Altamirano-Vallejo JC, Mora-Ríos LE, Castellanos-González MA, Ruiz-Orizaga G, Cisneros-Gómez SM
Language: Spanish
References: 31
Page: 394-402
PDF size: 60.29 Kb.
ABSTRACT
Objective: To compare the incidence of ocular hypertension after the intravitreal injection of triamcinolone acetonide with and without preservative.
Material and methods: Retrospective analysis of the clinical charts of patients with macular edema secondary to different pathologies. We established two groups. Group 1 included injected eyes with triamcinolone acetonide with preservative and group 2 included injected eyes with the preservative-free product. We compared the intraocular pressure at baseline and week 1, month 1 and month 3 after the intravitreal injection.
Results: Ninety one eyes of eighty eight patients were included, 61 in group 1 and 30 in group 2. Elevation of the intraocular pressure after injection was higher for group 1, reaching statistic significance at all the corresponding measurements. In group 1, 36% of the eyes required medical or surgical treatment in order to control the intraocular pressure, while medical treatment was required only in 3% of the eyes included in group 2.
Conclusions: Intravitreal injection of preservative-free triamcinolone acetonide induced lower incidence of ocular hypertension when compared to the formulation with preservative.
REFERENCES
James M. Intra-articular triamcinolone: new indication. Juvenile idiopathic arthritis: several months of relief. Prescrire International 2007; 16(92):242.
Jonas JB. Intravitreal triamcinoloneacetonide for treatment of intraocular edematous and neovascular diseases. Acta Ophthalmol Scan 2005; (83):645-663.
Teresio A. Intravitreal triamcinolone compared with macular lasergrid photocoagulation for the treatment of cystoid macular edema. Am J Ophtalmol 2005; 140(4) 695.
Sararols,JHL. Triamcinolona acetónido en el tratamiento del edema macular diabético. An Oftalmol 2004; 12(2):71-76.
Intravitreal triamcinolone acetonide in eyes with cystoid macular edema associated with central retinal vein occlusion. Am J Ophthalmol 2003; (136):419-25.
Hogewind CZ, Klevering BJ, Hoyng CB. Intravitreal triamcinolone for the treatment of refractory macular edema in idiopathic intermediate or posterior uveitis. EuropJ Ophthalmol 2008; 18(3):429-34.
Intravitreal triamcinolone for refractory pseudophakic macular edema. Am J Ophthalmol 2003; (135):246-49
Hernandez-Da Mota S.E, Chacon-Lara A, Hernandez-Vazquez E. Uso de triamcinolona y bevacizumab en cirugía de faco-vitrectomía 25 G para el tratamiento de catarata y edema macular diabético. Arch Soc Esp Oftalmol [online] 2008; (83)5:293-99.
Roth Db, Realini T, Feuer Wj, Radhakrishnan R, Gloth J y cols. Short-term complications of intravitreal injection of triamcinolone acetonide. Retina 2008; 138 (2):286-7.
Wingate RJ, Beaumont PE. Intravitreal triamcinolone and elevated intraocular pressure. Aust N Z J Ophthalmol 1999; (27):431-2.
Inatani M, Iwao K, Kawaji T y cols. Intraocular Pressure Elevation after Injection of Triamcinolone Acetonide: a Multicenter Retrospective Case-Control Study. Am J Ophthalmol 2008; (145):676-81.
Smithen L, Ober M, Maranan L y cols. Intravitreal Triamcinolone Acetonide and Intraocular Pressure. Am J Ophthalmol 2004; (138):740-44.
Jost B. Jonas, G.S., Wido M. Budde, Ulrich H.M y cols. Triamcinolone Acetonide–Induced Ocular Hypertension. J Ocul Pharmacol Ther 2006; (4):247-50.
Yi-Sheng Ch, Sung-Huei T y cols. Cytotoxicity of Triamcinolone Acetonide on Human Retinal Pigment Epithelial Cells. Invest Ophthalmol & Vis Sci 2007; (6): 2792-98.
Morrison VL, Koh HJ, Cheng L y cols. Intravitreal toxcicity of the Kenalog vehicle (Benzyl alcohol) in rabbits. Retina 2006; (26):339-4.
Macky Ta, Shazly N. Retinal toxicity of triamcinolone’s vehicle (benzyl alcohol): an electrophysiologic and electron microscopic study. Graefes Arch Clin Exp Ophthalmol 2007; (6):817-24.
Konstantopoulos CW, Newsom R, Luff A. Ocular morbidity associated with intravitreal triamcinolone acetonide. Eye 2007; 21:317–20.
Bitter C, Verena Figueiredo KS, Pruente C y cols. Preservative- free Triamcinolone Acetonide Suspension Developed for Intravitreal Injection. J Ocul Pharmacol Ther 2008; (1):62-69.
Safety and pharmacokinetics of a preservative-free triamcinolone acetonide formulation for intravitreal administration. Retina 2006; (5):523-30.
Kothari A. Intravitreal Triamcinolone: Preservatives, Purification and “Preservative Free” Drug–The Final word on the preparation to use. URL: http://www.aios.org/proseed2006/ Mis/Mis3.pdf
Maia M, Farah M, Belfort R y cols. Effects of intravitreal triamcinolone acetonide injection with and without preservative. Br J Ophthalmol 2007; (91):1122-24.
Salvolini E, Neri P, Orciani M, Di Primio R, Giovannini A. Intravitreal micronized triamcinolone versus triamcinolone acetonide: a clinical and morphological comparative study. Int J Immunopathol Pharmacol 2008; (1):181-8.
Bleckman FJ. The indication area of triamcinolone acetonide 40 mg in dermatologic practice. Report of 12000 cases. Med Welt 1976; (31):1473-4.
De Berker D. Management of nail psoriasus. Clin Exp Dermatol 2000l; (5):357-62.
Robenzadeh A. Don PC, Davis L, Weinberg JM. Sclerosing lipogranuloma secondary to supposed vitamin E injection for facial rejuvenation: successful treatment with intralesional steroids. Dermatol Surg 1998; (9):1036-7.
Shields MB. Shield´s Textbook of Glaucoma. Philadelphia, PA, Lippincott Williams & Wilkins, 1998. 323-8
Francoise F, Victoria-Troncoso V. [Mucopolysaccarydes and pathogenesis of cortisone glaucoma (author´s transl)]. Klin Monatsbl Augenheilkd. 1974; (165):5-10.
Bill A. The drainage of aqueous humor. Invest Ophthalmol & Vis Sci 1975; (14):1-3.
Bakri SJ, Beer PM: The effect of intravitreal triamcinolone acetonide of intraocular pressure. Ophthalmic Surg Lasers Imaging 2003; (34):386-90.
Li Q, Wuang J, Yang L y cols. A Morphologic study of retinal toxicity induced by triamcinilone acetonide cehicles in rabbit eyes. Retina 2008; (28):504-10
Lüke M, Januschowski K, Beutel J, Warga M, Grisanti S y cols. The effects of triamcinolone crystals on retinal function in a model of isolated perfused vertebrate retina. Exp Eye Res 2008; (1):22-9.