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[Effects of Dexamethasone, Fluorometholone and Florex on intraocular pressure after photorefractive keratectomy]

Author(s): Deng Y, Wnag L, Liu C, Cai R

Affiliation(s): Department of Ophthalmology, First Affiliated Hospital, WCUMS, Chengdu 610041.

Publication date & source: 1999-06, Hua Xi Yi Ke Da Xue Xue Bao., 30(2):205-7.

Publication type: English Abstract

To evaluate the results of elevated intraocular pressure (IO) secondary to dropping of 0.1% Dexamethasone, Fluorometholone and Florex for 1-3 months after photorefractive keratectomy, we summed up and analysed the 3-month follow-up data on 546 eyes in three groups. The rates of IO elevated in Dexamethasone, Fluorometholone and Florex were 36%, 12.4% and 31.9% respectively. After topical use of corticosteroid, some of the elevations of IO took place as early as two weeks, but most of them occurred around 1 month. Eleven patients with IO elevation of both eyes had visual acuity decreased associated with eye-ache and halos and the other patients had no symptoms. After discontinuation of corticosteroid and institution of antiglaucoma therapy, the IO became normal in 3-7 days. In practice, this means that patients receiving corticosteroid eyedrops for more than two weeks should be checked for the possibility of ocular hypertension to prevent the corticosteroid glaucoma.

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