A prospective study comparing topical corticosteroids versus NSAIDs on IOP & the hypertensive phase following Ahmed GV surgery (Dr Darana Yuen)

Post-op NSAIDs have a potential advantage of not effecting IOP therefore hypothesized that their use could reduce the hypertensive phase if part of this phase is due to the so-called ‘steroid-responder’ phenomenon. The results of this study lead to the conclusion that there is too high a risk of wound leak if ketorolac is used instead of dexamethasone so this particular NSAID should never be used as a substitute for topical steroids.

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A practical approach to the use of corticosteroids in patients with uveitis (Dr Emmett Cunningham)

Keys to success are the correct medication, its proper use, and compliance. The most common problem is steroids being used too little for too long. The speaker also reviewed the penetration and efficacy of different formulations that will be covered in an upcoming issue of the Canadian Journal of Ophthalmology.

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