Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial

Article

Gillies, Mark C., Islam, Fakir M. A., Larsson, Jorgen, Pasadhika, Sirichai, Gaston, Chris, Zhu, Meidong and Wong, Tien Y.. 2010. "Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial ." Clinical and Experimental Opthalmology. 38 (6), pp. 605-612. https://doi.org/10.1111/j.1442-9071.2010.02341.x
Article Title

Triamcinolone-induced cataract in eyes with diabetic macular oedema: 3-year prospective data from a randomized clinical trial

ERA Journal ID14283
Article CategoryArticle
AuthorsGillies, Mark C. (Author), Islam, Fakir M. A. (Author), Larsson, Jorgen (Author), Pasadhika, Sirichai (Author), Gaston, Chris (Author), Zhu, Meidong (Author) and Wong, Tien Y. (Author)
Journal TitleClinical and Experimental Opthalmology
Clinical and Experimental Ophthalmology
Journal Citation38 (6), pp. 605-612
Number of Pages8
Year2010
Place of PublicationMelbourne, Australia
ISSN1442-6404
1442-9071
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1442-9071.2010.02341.x
Web Address (URL)http://onlinelibrary.wiley.com/doi/10.1111/j.1442-9071.2010.02341.x/pdf
Abstract

Purpose: To describe the 3-year risk of cataract after
intravitreal triamcinolone (IVTA) injections for diabetic
macular oedema and the outcomes of cataract surgery.
Methods: Prospective data from a randomized clinical trial were analysed. At baseline, 27 phakic eyes with diabetic macular oedema were randomized to receive IVTA and 25 to receive sham injection. After 2 years, initial sham-treated eyes were eligible to receive IVTA as the study became open label for the third year. The cumulative incidence of cataract surgery was the primary outcome of the study. Other
outcomes assessed included progression of cataract,
best-corrected logarithm of the minimal angle of resolution visual acuity before and after surgery and central macular thickness.
Results: Over the 3 years of the study, 15/27 (56%) phakic eyes in the IVTA treated group underwent cataract surgery as compared with 2/25 (8%) initial sham-treated eyes (P < 0.001). Mean visual acuity 6 months after cataract surgery was better than at entry into the trial. Two (15%) of the eyes in the IVTA-treated group undergoing cataract surgery had a loss of >15 letters. In the IVTA-treated group, 10/15
(67%) eyes that had three or more injections had progression of posterior subcapsular cataract by 2 grades as compared with only 2/12 (17%) eyes that had fewer than three injections (P = 0.009).
Conclusions: Over half of the eyes receiving IVTA injections for diabetic macular oedema required cataract surgery within 3 years. In eyes with three or more IVTA injections, two-thirds had progression of posterior subcapsular cataract. Visual outcomes after cataract surgery were generally good, although a small proportion of eyes lost greater than 15 letters over the course of the study.

Keywordscataract surgery; IVTA injection; macular oedema; visual acuity
ANZSRC Field of Research 2020321201. Ophthalmology
320507. Metabolic medicine
321204. Vision science
Public Notes

© 2010 Royal Australian and New Zealand College of Ophthalmologists.

Byline AffiliationsUniversity of Sydney
Department of Mathematics and Computing
University of Melbourne
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q1246/triamcinolone-induced-cataract-in-eyes-with-diabetic-macular-oedema-3-year-prospective-data-from-a-randomized-clinical-trial

Log in to edit
  • 1801
    total views
  • 9
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia
Shah, Mufarriq, Ormsby, Gial M., Noor, Ayesha, Chakrabarti, Rahul, Morchen, Manfred, Islam, Fakir M. Amirul, Harper, C. Alex and Keeffe, Jill E.. 2018. "Roles of the eye care workforce for task sharing in management of diabetic retinopathy in Cambodia." International Journal of Ophthalmology. 11 (1), pp. 101-107. https://doi.org/10.18240/ijo.2018.01.18
Attitudes and perceptions of eye care workers and health administrators regarding task sharing in screening and detection for management of diabetic retinopathy in Pakistan
Shah, Mufarriq, Noor, Ayesha, Ormsby, Gail M., Chakrabarti, Rahul, Harper, C. Alex, Islam, Fakir Amirul and Keeffe, Jill. 2018. "Attitudes and perceptions of eye care workers and health administrators regarding task sharing in screening and detection for management of diabetic retinopathy in Pakistan." Ophthalmic Epidemiology. 25 (2), pp. 169-175. https://doi.org/10.1080/09286586.2017.1381273
Task sharing: Development of evidence‐based co‐management strategy model for screening, detection, and management of diabetic retinopathy
Shah, Mufarriq, Noor, Ayesha, Ormsby, Gail M., Islam, Fakir Amirul, Harper, Colin Alex and Keeffe, Jill Elizabeth. 2018. "Task sharing: Development of evidence‐based co‐management strategy model for screening, detection, and management of diabetic retinopathy." International Journal of Health Planning and Management. 33 (4), pp. e1088-e1099. https://doi.org/10.1002/hpm.2590
Retinal fractal dimension is increased in persons with diabetes but not impaired glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study
Yau, J. W. Y., Kawasaki, R., Islam, F. M. A., Shaw, J., Zimmet, P., Wang, J. J. and Wong, T. Y.. 2010. "Retinal fractal dimension is increased in persons with diabetes but not impaired glucose metabolism: the Australian Diabetes, Obesity and Lifestyle (AusDiab) study ." Diabetologia. 53 (9), pp. 2042-2045. https://doi.org/10.1007/s00125-010-1811-z
An intergenic region between the tagSNP rs3793917 and rs11200638 in the HTRA1 gene indicates association with age-related macular degeneration
Richardson, Andrea J., Islam, F. M. Amirul, Aung, Khin Zaw, Guymer, Robyn H. and Baird, Paul N.. 2010. "An intergenic region between the tagSNP rs3793917 and rs11200638 in the HTRA1 gene indicates association with age-related macular degeneration." Investigative Ophthalmology and Visual Science. 51 (10), pp. 4932-4936. https://doi.org/10.1167/iovs.09-5114
Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES)
Islam, Fakir M. Amirul, Chakrabarti, Rahul, Dirani, Mohamed, Islam, M. Tauhidul, Ormsby, Gail, Wahab, Mohamed, Critchley, Christine and Finger, Robert P.. 2014. "Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES)." PLoS One. 9 (10), pp. 1-11. https://doi.org/10.1371/journal.pone.0110368
First contact diagnosis and management of contact lens-related complications
Fagan, Xavier J., Jhanji, Vishal, Constantinou, Marios, Islam, F. M. Amirul, Taylor, Hugh R. and Vajpayee, Rasik B.. 2012. "First contact diagnosis and management of contact lens-related complications." International Ophthalmology. 32 (4), pp. 321-327. https://doi.org/10.1007/s10792-012-9563-z
Long-term refractive outcomes and stability after excimer laser surgery for myopia
Dirani, Mohamed, Couper, Terry, Yau, Joanne, Ang, Enk K., Islam, F. M. Amirul, Snibson, Grant R., Vajpayee, Rasik B. and Baird, Paul N.. 2010. "Long-term refractive outcomes and stability after excimer laser surgery for myopia ." Journal of Cataract and Refractive Surgery. 36 (10), pp. 1709-1717. https://doi.org/10.1016/j.jcrs.2010.04.041
Retinal microvascular abnormalities and subclinical magnetic resonance imaging brain infarct: a prospective study
Cheung, Ning, Mosley, Thomas, Islam, Amirul, Kawasaki, Ryo, Sharrett, A. Richey, Klein, Ronald, Coker, Laura H., Knopman, David S., Shibata, Dean K., Catellier, Diane and Wong, Tien Y.. 2010. "Retinal microvascular abnormalities and subclinical magnetic resonance imaging brain infarct: a prospective study ." Brain. 133 (7), pp. 1987-1993. https://doi.org/10.1093/brain/awq127
Analysis of arsenic concentrations and correlation in water, soil and aurum by neutron activation analysis technique: a case study in Bagerhat, Bangladesh
Abdullah, S. M. A., Islam, M. T., Islam, S. Z., Hossain, Iqbal, Samsuzzoha, M., Hossain, M. D., Latif, S. A. and Islam, F. M. A.. 2010. "Analysis of arsenic concentrations and correlation in water, soil and aurum by neutron activation analysis technique: a case study in Bagerhat, Bangladesh." Bulletin of Environmental Contamination and Toxicology. 85 (3), pp. 301-306. https://doi.org/10.1007/s00128-010-0075-0