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Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial.

Publication ,  Journal Article
Gillies, MC; Islam, FMA; Larsson, J; Pasadhika, S; Gaston, C; Zhu, M; Wong, TY
Published in: Clin Exp Ophthalmol
August 2010

PURPOSE: To describe the 3-year risk of cataract after intravitreal triamcinolone (IVTA) injections for diabetic macular oedema and the outcomes of cataract surgery. METHODS: Prospective data from a randomized clinical trial were analysed. At baseline, 27 phakic eyes with diabetic macular oedema were randomized to receive IVTA and 25 to receive sham injection. After 2 years, initial sham-treated eyes were eligible to receive IVTA as the study became open label for the third year. The cumulative incidence of cataract surgery was the primary outcome of the study. Other outcomes assessed included progression of cataract, best-corrected logarithm of the minimal angle of resolution visual acuity before and after surgery and central macular thickness. RESULTS: Over the 3 years of the study, 15/27 (56%) phakic eyes in the IVTA treated group underwent cataract surgery as compared with 2/25 (8%) initial sham-treated eyes (P < 0.001). Mean visual acuity 6 months after cataract surgery was better than at entry into the trial. Two (15%) of the eyes in the IVTA-treated group undergoing cataract surgery had a loss of >15 letters. In the IVTA-treated group, 10/15 (67%) eyes that had three or more injections had progression of posterior subcapsular cataract by > or = 2 grades as compared with only 2/12 (17%) eyes that had fewer than three injections (P = 0.009). CONCLUSIONS: Over half of the eyes receiving IVTA injections for diabetic macular oedema required cataract surgery within 3 years. In eyes with three or more IVTA injections, two-thirds had progression of posterior subcapsular cataract. Visual outcomes after cataract surgery were generally good, although a small proportion of eyes lost greater than 15 letters over the course of the study.

Duke Scholars

Published In

Clin Exp Ophthalmol

DOI

EISSN

1442-9071

Publication Date

August 2010

Volume

38

Issue

6

Start / End Page

605 / 612

Location

Australia

Related Subject Headings

  • Vitreous Body
  • Visual Acuity
  • Triamcinolone Acetonide
  • Tomography, Optical Coherence
  • Risk Factors
  • Prospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gillies, M. C., Islam, F. M. A., Larsson, J., Pasadhika, S., Gaston, C., Zhu, M., & Wong, T. Y. (2010). Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial. Clin Exp Ophthalmol, 38(6), 605–612. https://doi.org/10.1111/j.1442-9071.2010.02341.x
Gillies, Mark C., Fakir M. A. Islam, Jörgen Larsson, Sirichai Pasadhika, Chris Gaston, Meidong Zhu, and Tien Y. Wong. “Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial.Clin Exp Ophthalmol 38, no. 6 (August 2010): 605–12. https://doi.org/10.1111/j.1442-9071.2010.02341.x.
Gillies MC, Islam FMA, Larsson J, Pasadhika S, Gaston C, Zhu M, et al. Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial. Clin Exp Ophthalmol. 2010 Aug;38(6):605–12.
Gillies, Mark C., et al. “Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial.Clin Exp Ophthalmol, vol. 38, no. 6, Aug. 2010, pp. 605–12. Pubmed, doi:10.1111/j.1442-9071.2010.02341.x.
Gillies MC, Islam FMA, Larsson J, Pasadhika S, Gaston C, Zhu M, Wong TY. Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial. Clin Exp Ophthalmol. 2010 Aug;38(6):605–612.
Journal cover image

Published In

Clin Exp Ophthalmol

DOI

EISSN

1442-9071

Publication Date

August 2010

Volume

38

Issue

6

Start / End Page

605 / 612

Location

Australia

Related Subject Headings

  • Vitreous Body
  • Visual Acuity
  • Triamcinolone Acetonide
  • Tomography, Optical Coherence
  • Risk Factors
  • Prospective Studies
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema