ABSTRACT
PURPOSE: We performed a retrospective study to investigate intraocular pressure (IOP) changes after an intravitreal triamcinolone acetonide (IVTA) in uveitic patients and to compare them with those of other diseases. METHODS: We reviewed 12 patients (17 eyes) who were diagnosed with uveitis and treated by oral and topical steroid, and then triamcinolone acetonide injection into the vitreous cavity in our hospital from March 2003 to April 2005. We evaluated IOP changes of uveitic patients and compared them with those of diabetic retinopathy (DR, 21 eyes), branch retinal vein occlusion (BRVO, 11 eyes), and age-related macular degeneration (AMD, five eyes) who were also treated by IVTA. RESULTS: The elevation of IOP (p=0.042) and maximum IOP (p=0.003) were statistically significantly different in uveitic patients compared to those in other patients (DR, BRVO, and AMD). The mean age was not statistically significantly different between the IOP elevated group and not-elevated group in uveitic patients, although IOP was significantly increased in patients over 40 years old (p=0.04). IOP was more elevated in uveitic patients with a short attack duration (p=0.03). The duration required for developing an elevated IOP ranged from one to ten weeks after IVTA treatment in uveitic patients, and two eyes received glaucoma surgery because of poorly controlled IOP. CONCLUSIONS: IVTA in uveitc patients is a useful method to reduce inflammation, but IOP elevation is more common in uveitc patients than in other disease (DR, BRVO, AMD), and may develop until ten weeks after treatment, so an extended follow-up schedule is recommended.
Subject(s)
Adult , Humans , Appointments and Schedules , Diabetic Retinopathy , Follow-Up Studies , Glaucoma , Inflammation , Intraocular Pressure , Macular Degeneration , Retinal Vein Occlusion , Retrospective Studies , Triamcinolone Acetonide , Triamcinolone , UveitisABSTRACT
PURPOSE: We report one case of the sclera-fixated posterior chamber intraocular lens in which haptic fracture developed after rubbing the eye. METHODS: A 72-year-old man visited our clinic because of diminished vision in his right eye after rubbing the eye. Four years previously, the posterior capsule was ruptured and the nucleus dropped into the vitreous cavity during phacoemusification at another hospital. The patient was transferred to our hospital where vitrectomy, lens nucleus removal and scleral fixation using a PMMA intraocular lens were performed. RESULTS: The uncorrected visual acuity was finger count 30cm in the right eye and 0.8 in the left eye, and best-corrected visual acuity was 0.6 in the right eye. A dislocated intraocular lens was found at the inferonasal peripheral area in the vitreous cavity. The dislocated intraocular lens was removed through the corneal wound using injection of perfluorocarbon into the vitreous cavity, and then a PMMA intraocular lens with a haptic ring was inserted by scleral fixation. The haptic of the dislocated intraocular lens fixed at the superotemporal region had broken and a rough plane revealed in the electromicroscopic finding. We considered that impact rather than friction caused the haptic to break.
Subject(s)
Aged , Humans , Fingers , Friction , Lenses, Intraocular , Polymethyl Methacrylate , Vision, Low , Visual Acuity , Vitrectomy , Wounds and InjuriesABSTRACT
PURPOSE: We performed a retrospective study to investigate the risk factors for visual prognosis in diabetes mellitus patients. METHODS: We reviewed 179 patients (358 eyes) who visited our hospital from January 1990 to January 2004. RESULTS The final visual outcome showed improvement in 28 (7.8%) eyes, no change in 193 (53.9%) eyes and worsening in 137 (38.3%) eyes. Duration of diabetes mellitus (p=0.01), diabetic retinopathy (p=0.001), higher grade diabetic retinopathy (p=0.002), progression of cataract (p=0.002), glaucoma (p=0.011), control of hypertension (p=0.001) and an abnormally low glomerular filtration rate (p=0.004) were all indicative of a high risk for decreased visual acuity. But other factors (age, type of diabetes mellitus, abnormality of electrocardiography, HbA1c, serum lipid) were not significantly correlated with visual prognosis (p>0.05). CONCLUSIONS: We concluded that duration of diabetes mellitus, diabetic retinopathy, higher grade diabetic retinopathy, cataract, glaucoma, control of hypertension and abnormally low glomerular filtration rate were the risk factors of decreased visual acuity.
Subject(s)
Humans , Cataract , Diabetes Mellitus , Diabetic Retinopathy , Electrocardiography , Glaucoma , Glomerular Filtration Rate , Hypertension , Prognosis , Retrospective Studies , Risk Factors , Visual AcuityABSTRACT
PURPOSE: We performed a retrospective study to investigate the risk factors for visual prognosis in diabetes mellitus patients. METHODS: We reviewed 179 patients (358 eyes) who visited our hospital from January 1990 to January 2004. RESULTS The final visual outcome showed improvement in 28 (7.8%) eyes, no change in 193 (53.9%) eyes and worsening in 137 (38.3%) eyes. Duration of diabetes mellitus (p=0.01), diabetic retinopathy (p=0.001), higher grade diabetic retinopathy (p=0.002), progression of cataract (p=0.002), glaucoma (p=0.011), control of hypertension (p=0.001) and an abnormally low glomerular filtration rate (p=0.004) were all indicative of a high risk for decreased visual acuity. But other factors (age, type of diabetes mellitus, abnormality of electrocardiography, HbA1c, serum lipid) were not significantly correlated with visual prognosis (p>0.05). CONCLUSIONS: We concluded that duration of diabetes mellitus, diabetic retinopathy, higher grade diabetic retinopathy, cataract, glaucoma, control of hypertension and abnormally low glomerular filtration rate were the risk factors of decreased visual acuity.