Early rapid rise in intraocular pressure after intravitreal triamcinolone acetonide injection.

Abstract:

PURPOSE:To report the occurrences of early rapid increases in intraocular (IOP) after intravitreal glucocorticoid injection. DESIGN:Observational case series. METHODS:We retrospectively reviewed the records of three patients seen and treated at Duke Eye Center. RESULTS:In all three cases, a significant rise in IOP occurred within 1 week of intravitreal triamcinolone injection for refractory macular edema. In one patient, a white material was found in the angle on gonioscopy. All three cases required surgical intervention to reduce the IOP. CONCLUSIONS:Considering the early rapid rise in IOP in these three cases, we suggest that clinicians closely monitor patients after intravitreal triamcinolone injections for the development of acute glaucoma. Additionally, it may be advisable to perform gonioscopic examinations to look for any abnormal accumulation of material in the angle.

journal_name

Am J Ophthalmol

authors

Singh IP,Ahmad SI,Yeh D,Challa P,Herndon LW,Allingham RR,Lee PP

doi

10.1016/j.ajo.2004.03.001

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

286-7

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002939404002806

journal_volume

138

pub_type

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