Is Kenalog Useful for Better Vitrectomy?

September 7, 2009

A study reports on the benefits of using intraoperative triamcinalone acetonide as a tool to aid in vitrectomy.  The study showed enhanced capability of identifying epiretinal membranes, internal limiting membrane and the posterior hyaloid.  While the complication rate was low and usually involved raised intraocular pressure, it was successfully managed with topical therapy.

Of note to a retinal surgeon, there was a  decreased rate of iatrogenic retinal tears!

While triamcinolone has been used and described as a useful tool during surgery, this was the first time I’ve read of a claim of reduced retinal tears.  This makes sense to me as it is easier to identify the more peripheral vitreous “skirt.”  I also wonder if the intraocular pressure rise still occurs when all the triamcinolone is removed at the time of surgery.

Link to the article.

Randall V. Wong, M.D.
Retina Specialist




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