Nargis Nizam Ashraf, Nisar Ahmed Siyal, Mehwish Hussain.
Contradiction in Using Steroids in IOP Responders, if Carefully Identified Before & After Surgery.
Ophthalmol Update Jun ;15(3):201-3.

Objective: To determine steroid responders following the use of steroid drops after cataract surgery. Study Design: Descriptive, cross-sectional study. Place and Duration of Study: Department of Ophthalmology, Unit II, Dow University of Health Sciences and Civil Hospital, Karachi, from August 2015 to May 2016. Methodology: After informed consent, all patients had complete eye examination including measurement of intraocular pressure (IOP). They were all advised prednisolone acetate eye drops, initially 2-hourly for 4 days and then 6-hourly for 6 weeks. IOP was measured by airpuff (non- contact) tonometer on first post-operative day and the subsequent readings were taken with applanation tonometer. Follow-up was done at first postoperative day; then at 1 week , 2 weeks and 3 weeks. Elevated IOP was considered to be more than 21 mmHg. Results. There were 255 patients in the study. Minimum IOP during study was 6mmHg and maximum 22mmHg.The median and interquartile range of IOP before and after surgery were 12 (4)P value was 0.198. Conclusion: Our study showed steroids can be used safely provided IOP is monitored carefully. If steroid responders are identified in time, any side effects can be prevented.

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