The effects of repeated Ozurdex injections on ocular hypertension

Sepehr Bahadorani,1 Chelsey Krambeer,2 Kendall Wannamaker,1 Wayne Tie,1 Michael Jansen,1 Jason Espitia,2 Jeong-Hyeon Sohn,1 Michael A Singer2 1Department of Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; 2Medical Center Ophthalmology Associates, San A...

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Autores principales: Bahadorani S, Krambeer C, Wannamaker K, Tie W, Jansen M, Espitia J, Sohn JH, Singer MA
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Lenguaje:EN
Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:2433c71603c14668878cba73086eba472021-12-02T08:08:23ZThe effects of repeated Ozurdex injections on ocular hypertension1177-5483https://doaj.org/article/2433c71603c14668878cba73086eba472018-04-01T00:00:00Zhttps://www.dovepress.com/the-effects-of-repeated-ozurdex-injections-on-ocular-hypertension-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sepehr Bahadorani,1 Chelsey Krambeer,2 Kendall Wannamaker,1 Wayne Tie,1 Michael Jansen,1 Jason Espitia,2 Jeong-Hyeon Sohn,1 Michael A Singer2 1Department of Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; 2Medical Center Ophthalmology Associates, San Antonio, TX, USA Purpose: The purpose of this study was to correlate the degree of ocular hypertension with the number of Ozurdex injections.Methods: Intraocular pressure (IOP) fluctuations for a total of 183 injections were studied over a period of at least 12 months. The main indications for treatment were uveitis, diabetic macular edema, and retinal vein occlusion.Results: Results of the study demonstrate that repeated Ozurdex injections do not increase the frequency of IOP spikes beyond 30 mmHg. For lower IOPs, however, a positive correlation exists. Furthermore, patients with primary open angle glaucoma and uveitis had the highest IOP response to repeated injections. On average, patients with an IOP of ≥28.6 mmHg received pressure lowering medications, after which their IOP reached a stable level (16.7 mmHg) without the need for additional interventions.Conclusion: The data support the conclusion that multiple Ozurdex injections does not increase the frequency of IOP spikes beyond 30 mmHg, but patients still must be closely monitored if they have a history of primary open angle glaucoma. Keywords: Ozurdex, dexamethasone, glaucoma, intraocular pressure, ocular hypertensionBahadorani SKrambeer CWannamaker KTie WJansen MEspitia JSohn JHSinger MADove Medical PressarticleOzurdexdexamethasoneglaucomaintraocular pressureocular hypertension.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 639-642 (2018)
institution DOAJ
collection DOAJ
language EN
topic Ozurdex
dexamethasone
glaucoma
intraocular pressure
ocular hypertension.
Ophthalmology
RE1-994
spellingShingle Ozurdex
dexamethasone
glaucoma
intraocular pressure
ocular hypertension.
Ophthalmology
RE1-994
Bahadorani S
Krambeer C
Wannamaker K
Tie W
Jansen M
Espitia J
Sohn JH
Singer MA
The effects of repeated Ozurdex injections on ocular hypertension
description Sepehr Bahadorani,1 Chelsey Krambeer,2 Kendall Wannamaker,1 Wayne Tie,1 Michael Jansen,1 Jason Espitia,2 Jeong-Hyeon Sohn,1 Michael A Singer2 1Department of Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA; 2Medical Center Ophthalmology Associates, San Antonio, TX, USA Purpose: The purpose of this study was to correlate the degree of ocular hypertension with the number of Ozurdex injections.Methods: Intraocular pressure (IOP) fluctuations for a total of 183 injections were studied over a period of at least 12 months. The main indications for treatment were uveitis, diabetic macular edema, and retinal vein occlusion.Results: Results of the study demonstrate that repeated Ozurdex injections do not increase the frequency of IOP spikes beyond 30 mmHg. For lower IOPs, however, a positive correlation exists. Furthermore, patients with primary open angle glaucoma and uveitis had the highest IOP response to repeated injections. On average, patients with an IOP of ≥28.6 mmHg received pressure lowering medications, after which their IOP reached a stable level (16.7 mmHg) without the need for additional interventions.Conclusion: The data support the conclusion that multiple Ozurdex injections does not increase the frequency of IOP spikes beyond 30 mmHg, but patients still must be closely monitored if they have a history of primary open angle glaucoma. Keywords: Ozurdex, dexamethasone, glaucoma, intraocular pressure, ocular hypertension
format article
author Bahadorani S
Krambeer C
Wannamaker K
Tie W
Jansen M
Espitia J
Sohn JH
Singer MA
author_facet Bahadorani S
Krambeer C
Wannamaker K
Tie W
Jansen M
Espitia J
Sohn JH
Singer MA
author_sort Bahadorani S
title The effects of repeated Ozurdex injections on ocular hypertension
title_short The effects of repeated Ozurdex injections on ocular hypertension
title_full The effects of repeated Ozurdex injections on ocular hypertension
title_fullStr The effects of repeated Ozurdex injections on ocular hypertension
title_full_unstemmed The effects of repeated Ozurdex injections on ocular hypertension
title_sort effects of repeated ozurdex injections on ocular hypertension
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/2433c71603c14668878cba73086eba47
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