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Published on: February 15, 2022
Pattern of intraocular pressure fluctuation in uveitic eyes treated with corticosteroids
Sneha Shrestha1, Madhu Thapa, Dev Narayan Shah
1BP Koirala Lions Centre for Ophthalmic Studies, Maharajgunj , Kathmandu , Nepal.
Purpose:
To determine IOP fluctuation in uveitic eyes treated with corticosteroids.
Design:
Prospective Observational Study.
Method:
Study of 116 consecutive new uveitis patients visiting Uveitis clinic, BPKLCOS. IOP was meticulously monitored. Data was analyzed in SPSS-16 using paired samples 't-test'.
Results:
The mean IOP in all patients at presentation, at 1 week, 3 weeks and 6 weeks were respectively 14.66 mmHg, 14.72 mmHg, 14.75 mmHg and 14.93 mmHg. This progressive IOP rise was not statistically significant. Ocular hypertension was seen in 20% eyes; 64.5% were due to corticosteroids. Steroid-induced ocular hypertension was seen in 37.03% of oral group, 14.28% of posterior subtenon group, 8.57% of topical group. Antiglaucoma medications were started in 61.2% of the cases with raised IOP. None had to undergo glaucoma filtering surgery.
Conclusion:
Incidence of ocular hypertension in uveitic eyes was 20% in this study. Majority of them was corticosteroid induced. Timely medical treatment averted the necessity of surgical intervention for IOP control.
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