Abstract

DO.14.03

Ophthalmohypertension after steroid usage in post-operated period in children

Vitovska O., Deryapa I.
Ukrainian National Medical University Eye Clinic "Novii Zir"

Objective: To study IOP level in children, transmitted strabismus surgery, used corticosteroids in post-op period.
Methods: 53 children (54 eyes) in the age from 4 to 14 yrs, transmitted strabismus surgery were under investigation. All patients underwent full eye examination. Patients, who had family glaucoma, systemic disease, who have been treated with corticosteroids previously were not included into investigation. There were three groups of patients: the 1^st - 20 patients (21 eyes), were treated by 0,1% dexamethasone in descending scheme; the 2^nd group - 12 patients (12 eyes), were treated by 0,1% dexamethasone qis during 2 weeks, bis – during next 14 days; the 3^rd group - 21 patients (21 eyes), were treated by Flucon in descending scheme. IOP control was performed on the 7^th, 14^th, 21^st, 28^th days.
Results: At baseline, the mean IOP were 13,9±2,1 mmHg in the 1^st group, 14,5±2,5 mmHg in the 2^nd group and 15,3±2,4 mmHg in the 3^rd group. High response (Armaly (1963)) was found out in 14,3%, 33,3%, 9,5% in the 1, 2, 3 groups correspondently.
All patients except only one haven’t had complaints. In the cases of high response we canceled steroids, prescribed Xalatan. After 1-3 days IOP was normalized. We didn’t observe any case of OH and any case of side effect in the following period of observation.
Conclusions: In the case of corticosteroid prescription in post op period all children needs IOP monitoring. High steroid response in children exceeded the similar figures in the adult population (5%). Flucon application in pediatric practice helps to reduce OH risk in post operative period. Xalatan is effective in OH treatment in pediatric practice.

Copyright: Porstmann Kongresse GmbH. All rights reserved. Impressum, Disclaimer.