Abstract
Purpose:
To compare the postoperative results in patients who had Anterior Vitrectomy (VAS) vs Triamcinolone Assisted Vitrectomy (VAT) in an ophthalmology training center.
Methods:
Cataract surgery cases with vitreous loss from an ophthalmology training center were randomly injected with air and triamcinolone suspension (40 mg/ml). A maximum dose of 4mg/0.1ml was injected into the anterior chamber to visualize the vitreous. The anterior chamber was refilled with BBS and anterior vitrectomy was performed. Postoperative results were compared
Results:
24 cases with vitreous loss were evaluated. VAT vs VAS results were: residual vitreous strands to the wound VAT(0) / VAS(8); intraocular pressure > 25 mmHg VAT(3) / VAS(3); corneal edema VAT(0) / VAS(6); Retinal detachment VAT(0) / VAS(1).
Conclusions:
The use of triamcinolone during anterior vitrectomy improved visualization of vitreous and reduced postoperative inflammation
Keywords: 445 cataract •
737 training/teaching cataract surgery