Ocular Inflammation Clinical Trial
Official title:
A Comparison of a Single Orbital Floor Injection of Triamcinolone Versus Conventional Steroid and Antibiotic Drops Used Post Operatively in Uneventful Phacoemulsification Surgery
Cataract extraction is one of the most common operative procedures performed throughout the
world. Conventionally, patients are discharged with postoperative drops of steroids and
antibiotics or a combination of both. These drops are to be administered for 2-6 weeks
depending on individual eye unit protocol. Many patients find the postoperative drops
arduous and non-compliance can cause prolonged inflammation and discomfort. Patients with
cognitive, physical and visual impairments require assistance from family or community
nurses to administer drops. A single perioperative injection of Triamcinolone has been shown
to be an effective replacement for drops postoperatively in two previous studies 1, 2.
Aims & objectives
The aim of this study is to see if a single orbital floor injection of Triamcinolone is
equivalent to conventional steroid and antibiotic drops used post operatively in uneventful
phacoemulsification surgery in treating postoperative inflammation.
This is a prospective randomized control trial of 80 patients undergoing routine phacoemulsification cataract extraction. The patients were randomly assigned to receive the triamcinolone injection or post operative topical treatment of G Maxitriol QDS 1/52 tapering over one month. Forty mg of triamcinolone was injected inferior temporally immediately post operatively prior to undraping the patient in theatre in those randomized to this group. The patients were reviewed at week one and at one month. ;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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