H. Fukushima et al., Effect of subconjunctival steroid injection on intraocular inflammation and blood glucose surgery in diabetic level after cataract patients, J CAT REF S, 27(9), 2001, pp. 1386-1391
Purpose: To prospectively evaluate the usefulness of a subconjunctival ster
oid injection given at the completion of cataract surgery in patients with
Setting. University of Tokyo School of Medicine, Tokyo, Kaiya Eye Clinic, H
amamatsu, and Jyosai Hospital, Tokyo, Japan.
Methods: One hundred four eyes of 104 diabetic patients having routine smal
l incision cataract surgery were randomized into 2 groups. One group receiv
ed a subconjunctival injection of dexamethasone and the other group did not
. Aqueous flare intensity was measured with the laser flare meter preoperat
ively and 1, 2, 5, 7, and 14 days postoperatively. Another 19 diabetic pati
ents having routine cataract surgery were randomized to receive a subconjun
ctival steroid injection or not; blood glucose concentration was measured 4
times a day for 3 days postoperatively.
Results: There was no significant difference between the 2 groups in aqueou
s flare values at any postoperative time. The subconjunctival steroid injec
tion induced a transient but significant increase in blood glucose on the d
ay of surgery.
Conclusion: A subconjunctival steroid injection given at the completion of
cataract surgery in diabetic patients had no beneficial effects. (C) 2001 A
SCRS and ESCRS.