Chaudary Nasir Ahmad, Asad Aslam Khan, Zahid Siddique, Shakil Ahmed.
Role of intracameral dexamethasone in preventing immediate postoperative anterior uveitis in paediatric cataract extraction.
Pak J Med Health Sci Jan ;4(4):338-42.

Objective: Paediatric cataract surgery can result in several complications like post operative inflammation. Topical steroids are relied upon as mainstay of treatment and prevention, adjuvant periocular and systemic steroids may be required to control the inflammation. The purpose of study was to evaluate the role of intracameral dexamethasone in preventing immediate postoperative anterior uveitis in paediatric cataract extraction. Methods: This was comparative study done at institute of Ophthalmology Mayo Hospital Lahore. Sixty patients were selected and divided into two equal groups. Group I were given routinely subconjuctival injection of gentamycin 20 mg and dexamethasone 2 mg while patients in group II were given subconjuctival injection of gentamycin 20 mg and intracameral dexamethasone 0.4 mg (0.1ml). Evaluation was done on 1st and 3rd postoperative day and on first follow up visit. Examination of children was done with help of slit lamp for cells, flare or any other sign of inflammation. In case of non cooperative children examination was done with microscope under sedation/general anesthesia for fibrinous reaction, exudative membrane, posterior synechiae and red reflex. Results: There were total of sixty patients age below 12 years divided into two equal groups, 43 were males and 17were females. Group I was given routinely subconjuctival injection of dexamethasone, while group II patients were given intracameral injection of dexamethasone. Group II patients showed better results than that of group I. Conclusion: Intracameral injection of dexamethasone was found superior to subconjuctival injection of dexamethasone in preventing immediate postoperative anterior uveitis.

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