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¹Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Uzm. Dr.
²Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Uzm. Dr.
³Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Asist. Dr. Purpose: To evaluate the efficiency of trabeculectomy in eyes which that had developed high intraocular pressures (IOP) after intravitreal triamcinolone acetonide (IVTA) injection.
Materials and Methods: Two hundred and fifteen eyes into which IVTA had been injected due to macular edema which caused bydeveloped by different etiologies were examined. IVTA injections were performed under topical anesthesia and aseptic conditions. Then 4 mg/0.1 ml triamcinolone was injected 3.5-4 mm away from the limbus at the inferotemporal quadrant with a 27-gauge needle. The standard trabeculectomy procedure was performed in 7 eyes which that had developed high IOP and were resistant to medical therapy.
Results: After IVTA injection antiglaucomatous topical therapy was initiated in 54 (25.11%) eyes. A mean interval of 147.29±59.87 days after the injection the trabeculectomy was performed in 7 eyes which that were resistant to medical therapy and in which mean IOP was 38.14±7.60 mmHg. The mean IOP was 15.71±2.21 mmHg at the third 3 months after the operation. Within the first week after the operation there were shallow anterior chambers in two eyes and choroidal detachment in one eye.
Conclusion: Due to the good results in eyes which that had developed refractory high IOP after IVTA injection trabeculectomy can be considered as athe first choice of therapy. Keywords : Intravitreal triamcinolone acetonide, refractory glaucoma, t rabeculectomy