A COMPARISON BETWEEN THE EFFICACY OF SINGLE SUB-TENON'S CAPSULE TRIAMCINOLONE ACETONIDE INJECTION AND PREDNISOLONE ACETATE DROP FOR THE PROPHYLAXIS OF POST-CATARACT SURGERY INFLAMMATION

Silina Abdalahad*, Yusuf Suleiman and Mahmoud Rajab

ABSTRACT

Objective: To compare the effectiveness of a single injection of triamcinolone acetonide 40 mg with topical prednisolone 1% to prevent inflammation after cataract surgery and compare its effect on intraocular pressure IOP.
Methods: This study was conducted in the Department of ophthalmology at Tishreen University Hospital in Lattakia, in the period from March 2023 until May 2024. This study included 100 patients (100 eyes) with a senile cataract of varying severity, meeting the inclusion and exclusion criteria of this research. All patients underwent Phacoemulsification surgery. The research sample was divided into two groups: the first group patients received a single sub-tenon injection of Triamcinolone Acetonide 40 mg one-time at the end of the surgery. Group II: patients were given an eye drop of prednisolone acetate 1% six times during the first week then reduced for the next six weeks after surgery. The patients have been evaluatd at the days (1,3,7,14,28,56) after surgery, by monitoring AC cell, intraocular pressure IOP values and ophthalmological symptoms as( pain, photophobia). Conclusion : We did not find statistically significant differences between Triamcinolone Acetonide 40 mg injected sub-tenon and Prednisolone Acetate 1% (eye drops) in patients with cataract undergoing Phacoemulsification surgery by monitoring intraocular pressure, anterior chamber cells in addition to pain and photophobia.

Keywords: Cataract Surgery, SAIDs, TA, PA.