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Effects of intraoperative steroid injection on the outcome of pterygium surgery Purpose To evaluate the effects of intraoperative triamcinolone injection on the outcome of pterygium surgery. Methods This prospective study included 54 eyes with primary nasal pterygia that underwent pterygium surgery with a bare- sclera technique and intraoperative mitomycin C application. Patients were randomized into two groups; the steroid group that received subconjunctival injection of 12 mg triamcinolone acetonide at the end of surgery, and the control group that did not receive such steroid injection. Main outcome measures included presence of conjunctival inflammation at 1 month postoperatively as well as recurrence of pterygium. Results Twelve-month follow-up was completed in 48 eyes (23 in the steroid group and 25 in the control group). At 1 month postoperatively, different grades of conjunctival inflammation were present in 11 (47.8%) of the steroid group and in 14 (56%) of the control group (P 1⁄4 0.39). For eyes with moderate or severe postoperative inflammation, subconjunctival triamcinolone was injected; these included 6 (26.1%) and 9 (36%) in the steroid and control groups, respectively (P 1⁄4 0.54). During follow-up, surgical area showed fine episcleral vessels without fibrous tissue in 1 (4.3%) of the steroid group and 3 (12.0%) of the control group (P 1⁄4 0.33), which all regressed after triamcinolone injection. Conjunctival recurrence of pterygium was seen in 2 (8.7%) of the steroid group and in 1 (4.0%) of the control group (P 1⁄4 0.47). No eye developed corneal recurrence in either group.

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Effects of intraoperative steroid injection on the outcome of pterygium surgeryPurpose To evaluate the effects of intraoperative triamcinolone injection on the outcome of pterygium surgery.Methods This prospective study included 54 eyes with primary nasal pterygia that underwent pterygium surgery with a bare- sclera technique and intraoperative mitomycin C application. atients were randomi!ed into two groups" the steroid group that received subconjunctival injection of #$ mg triamcinolone acetonide at the end of surgery% and the control group that did not receive such steroid injection. &ain outcome measures included presence of conjunctival inflammation at # month postoperatively as well as recurrence of pterygium.Results Twelve-month follow-up was completed in 4' eyes ($) in the steroid group and $5 in the control group*. +t # month postoperatively% different grades of conjunctival inflammation were present in ## (4,.'-* of the steroid group and in #4 (5.-* of the control group ( #/4 0.)1*. 2or eyes with moderate or severe postoperative inflammation% subconjunctival triamcinolone was injected" these included . ($..#-* and 1 ().-* in the steroid and control groups% respectively ( #/4 0.54*. 3uring follow-up% surgical area showed fine episcleral vessels without fibrous tissue in # (4.)-* of the steroid group and ) (#$.0-* of the control group ( #/4 0.))*% which all regressed after triamcinolone injection. Conjunctival recurrence of pterygium was seen in $ ('.,-* of the steroid groupand in # (4.0-* of the control group ( #/4 0.4,*. 4o eye developed corneal recurrence in either group. Conclusions 5n pterygium surgery with a bare-sclera technique and mitomycin C application% intraoperative triamcinolone injection did not significantly reduce postoperative conjunctival inflammation or pterygium recurrence.Efek dari injeksi steroid intraoperatif pada hasil operasi pterygiumTujuan 6ntu7 mengevaluasi efe7 dari inje7si triamcinolone intraoperatif pada hasil operasi pterygium. Metode enelitian prospe7tif ini menca7up 54 mata dengan pterygia hidung primer yang menjalani operasi pterygium dengan te7ni7 s7lera bare- dan apli7asi mitomycin C intraoperatif. asien secara aca7 dibagi menjadi dua 7elompo7" 7elompo7 steroid yang menerima sunti7an subconjunctival dari #$ mg triamsinolon acetonide pada a7hir operasi% dan 7elompo7 7ontrol yang tida7 menerima inje7si steroid tersebut. 8asil pengu7uran utama termasu7 adanya peradangan 7onjungtiva pada # bulan pasca operasi serta 7e7ambuhan pterigium. Hasil 3ua belas bulan follow-up selesai pada 4' mata ($) pada 7elompo7 steroid dan $5 pada 7elompo7 7ontrol*. ada # bulan pasca operasi% nilai yang berbeda dari peradangan 7onjungtiva hadir di ## (4,%'-* dari 7elompo7 steroid dan di #4 (5.-* dari 7elompo7 7ontrol ( #94 0.)1*. 6ntu7 mata dengan peradangan pasca operasi sedang atau berat% triamsinolon subconjunctival disunti77an" ini termasu7 . ($.%#-* dan 1 ().-* di steroid dan 7elompo7 7ontrol% masing-masing ( #94 0.54*. :elama tinda7 lanjut% daerah bedah menunju77an 7apal episcleral bai7 tanpa jaringan fibrosa dalam # (4%)-* dari 7elompo7 steroid dan ) (#$%0-* dari 7elompo7 7ontrol ( #94 0.))*% yang semua 7emunduran setelah inje7si triamcinolone. ;e7ambuhan 7onjungtiva dari pterygium terlihat pada $ ('%,-* dari 7elompo7 steroid dan dalam # (4%0-* dari 7elompo7 7ontrol ( #94 0.4,*. Tida7 ada mata mengembang7an 7e7ambuhan 7ornea dalam 7elompo7 bai7. Kesimpulan 3alam operasi pterygium dengan te7ni7 bertelanjang s7lera dan mitomycin C apli7asi% inje7si triamcinolone intraoperatif tida7 secara signifi7an mengurangi peradangan 7onjungtiva pasca operasi atau pterigium 7e7ambuhanlaucoma +fter Congenital Cataract :urgeryPURPOE? To report the long-term ris7 of glaucoma development in children following congenital cataract surgery.!E"#$? =etrospective interventional consecutive case series.METHO!? @e retrospectively reviewed the records of .$ eyes of ), children whounderwent congenital cataract surgery when A, months of age by the same surgeon using a limbal approach. The ;aplan-&eier method was used to calculate the probability of an eyeBs developing glaucoma and9or becoming a glaucoma suspect over time.REU%T? The median age of surgery was $.0 months and the median follow-up after cataract surgery was ,.1 years (range% ).$-$).5 years*. 4ine eyes (#4.5-* devel- oped glaucoma a median of 4.) months after cataract surgery and an additional #. eyes ($5.'-* were diag- nosed as glaucoma suspects a median of '.0years after cataract surgery. The probability of an eyeBs developing glaucoma was estimated to be #1.5- (15- C5? #0.0-- )..#-* by #0 years after congenital cataract surgery. @hen the probability of glaucoma and glaucoma suspect were combined% the ris7 increased to .).0- (15- C5? 4)..--'$.)-*.CO$C%U"O$?