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Letter

Safety of intracameral preservative-free triamcinolone acetonide during anterior vitrectomy

Vasavada, Abhay R. MS, FRCS; Shah, Sajani MS; Praveen, Mamidipudi DO

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Journal of Cataract & Refractive Surgery: September 2013 - Volume 39 - Issue 9 - p 1452
doi: 10.1016/j.jcrs.2013.07.021
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In their article, Kasbekar et al.1 evaluate the clinical outcomes following triamcinolone acetonide–assisted anterior vitrectomy versus anterior vitrectomy without the use of triamcinolone acetonide in management of posterior capsule rupture in adult eyes having cataract surgery. The results of this retrospective study show that the use of intracameral triamcinolone acetonide not only aids in better and complete removal of any anterior vitreous, but also is not associated with any significant rise in intraocular pressure (IOP) or endophthalmitis.

We would like to draw the readers’ attention to previous studies that we performed in pediatric eyes that had similar results. In a prospective study, the use of intracameral preservative-free triamcinolone acetonide to aid vitreous visualization during planned vitrectomy for congenital cataract surgery helped in better vitreous cleanup and did not lead to adverse postoperative complications, including untoward increase in IOP.2 In a retrospective case-control study in pediatric eyes,3 in which anterior vitrectomy was performed with and without the use of intracameral triamcinolone, the eyes that received triamcinolone had significantly less anterior segment inflammation and visual axis obscuration.

References

1. Kasbekar S, Prasad S, Kumar BV. Clinical outcomes of triamcinolone-assisted anterior vitrectomy after phacoemulsification complicated by posterior capsule rupture. J Cataract Refract Surg. 2013;39:414-418.
2. Dixit NV, Shah SK, Vasavada V, Vasavada VA, Praveen MR, Vasavada AR, Trivedi RH. Outcomes of cataract surgery and intraocular lens implantation with and without intracameral triamcinolone in pediatric eyes. J Cataract Refract Surg. 2010;36:1494-1498.
3. Praveen MR, Shah SK, Vasavada VA, Dixit NV, Vasavada AR, Garg VS, Trivedi RH. Triamcinolone-assisted vitrectomy in pediatric cataract surgery: intraoperative effectiveness and postoperative outcome. J AAPOS. 2010;14:340-344.
© 2013 by Lippincott Williams & Wilkins, Inc.