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43871

Intra-Vitreal Injection of Triamcinolone Acetonide versus Bevacizumab for Management of Diabetic Macular Edema after Phaco Emulsification

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Last updated: 22 Jan 2023

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Abstract

Background: Several studies were done to assess macular edema after phacoemulsification and after phacoemulsification with intravitreal injection of either triamcinolone acetonide or bevacizumab. Aim: to identify the effect of intravitreal injection of either Triamcinolone acetonide or Bevacizumab for the management of Diabetic macular edema after Phacoemulsification. Patients and Methods: Preoperative BCVA was recorded, Preoperative assessment with Fluorescein Angiography (FFA) and Optical Coherence Topography (OCT) was recorded. Patients were allocated into 3 groups, for all groups phacoemulsification and posterior chamber Intra ocular lens was done then in group A intravitreal injection of triamcinolone acetonide was done, group B intravitreal injection of bevacizumab was done, and group C only phacoemulsification and posterior chamber IOL was done. Postoperatively BCVA for each patient in each group and post operative FFA and assessment of the macular thickness with OCT were taken and recorded. Results:The study was carried on 39 patients, in group A there was an improvement of macular edema and reduction of central macular thickness postoperatively, also best corrected visual acuity was improved. In group B and group C there was deterioration of macular edema and increases in central macular thickness post operatively but best corrected visual acuity improved postoperatively. Conclusion: Intravitreal injection of triamcinolone acetonide is an effective method and more effective than bevacizumab for treatment of diabetic macular edema during phacoemulsification.    

DOI

10.21608/scumj.2016.43871

Keywords

Optical Coherence Tomography, Fluorescein angiography

Authors

First Name

Ehab

Last Name

Ghoneim

MiddleName

M

Affiliation

Department of Ophthalmology, Faculty of Medicine, Port Said University, Egypt

Email

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City

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Orcid

-

First Name

Ahmed

Last Name

Abd El ghany

MiddleName

A

Affiliation

Department of Ophthalmology, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Amr

Last Name

Gab-Alla

MiddleName

A

Affiliation

Department of Ophthalmology, Faculty of Medicine, Suez Canal University, Egypt

Email

amrophth@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

El Masry

MiddleName

M

Affiliation

Department of Ophthalmology, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

Volume

19

Article Issue

1

Related Issue

6813

Issue Date

2016-03-01

Receive Date

2019-08-05

Publish Date

2016-03-01

Page Start

10

Page End

16

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_43871.html

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https://scumj.journals.ekb.eg/service?article_code=43871

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2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023