Effect of subconjunctival steroid injection on intraocular inflammation and blood glucose surgery in diabetic level after cataract patients

Citation
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
Citations number
21
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Optalmology
Journal title
JOURNAL OF CATARACT AND REFRACTIVE SURGERY
ISSN journal
0886-3350 → ACNP
Volume
27
Issue
9
Year of publication
2001
Pages
1386 - 1391
Database
ISI
SICI code
0886-3350(200109)27:9<1386:EOSSIO>2.0.ZU;2-P
Abstract
Purpose: To prospectively evaluate the usefulness of a subconjunctival ster oid injection given at the completion of cataract surgery in patients with diabetes mellitus. 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.