Title: Application of triamcinolone acetonide in vitrectomy for endophthalmitis in childhood
Abstract: Background Endophthalmitis is a common cause of blindness for children,and vitrectomy is effective in treating endophthalmitis.As a long-acting glucocorticoid,triamcinolone acetonide (TA) has been widely applied in the vitreoretinal surgery.ObjectiveThis study was to evaluate the clinical efficacy of triamcinolone acetonide (TA) application during the vitrectomy of endophthalmitis in children.MethodsThe clinical data of 56 eyes from 54 children undergone cerclage sclera+ vitrectomy+ intraocular photocoagulation and silicone oil tamponade for endophthalmitis in Affiliated Xiamen Ophthalmic Center of Xiamen University from Jan,2003 to Feb,2008 were collected and analyzed.The patients were assigned to two groups.group A included 29 cases (29 eyes) and in group B 25 cases (27 eyes) was selected according to whether the TA was injected intravitreally during the vitrectomy.The effectiveness of vitrecomy in this study was evaluated by assessing the visual acuity and attachment of retina,and the safety of the intravitreal injection of TA was analyzed according to the occurrence of complications.All the patients were followed-up over 12 months after the vitrectomy.ResultsThe ocular inflammation was faded and retina was attached in all the cases after operation.The visual acuity was improved in 42 eyes except 3 children with poor collaboration in the examination of visual acuity,the improved vision acuity included 26 eyes (89.66%) in group A and 16 eyes (59.26%) in group B,showing a significant difference between them (χ2=6.890,P=0.009).In 37 eyes the visual acuity was 0.05,which included 23 eyes (79.31%) in group A and 14 eyes (51.85%) in group B with statistically significant difference (χ2=4.703,P=0.030).Retinal detachment was occurred in 14 eyes of 13 cases after vitrectomy with the incidence 13.79% in group A and 37.04% in group B,showing a statistically significant difference between them (χ2=4.029,P=0.045).ConclusionThe application of TA in vitrectomy is effective in the treatment of endophthalmitis in children.It can significantly improve the visual prognosis of the children with endophthalmitis and prevent the complication after vitrectomy of endophthalmitis in children.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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