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¹Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Uzm. Dr.
²Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Asist. Dr.
³Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Doç. Dr.
⁴Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, İstanbul, Prof. Dr. A 4-year-old boy was diagnosed with bilateral cataracts and uveitis. Bilateral cataract surgery was planned with the right eye being operated on first. During the surgery on the right eye an intravenous steroid injection of 250 mg was applied and after the surgery an intracameral injection of triamcinolone acetonide (0.04 mg/0.1 ml) was applied. During the operation on the left eye the same dosage intravenous steroid injection was employed but an intracameral steroid injection was not used. The postoperative treatment protocol was the same for the two eyes. In the right eye, during the 12 months following, a fibrin reaction did not occur , but in the left eye a fibrin reaction occurred after the third postoperative day. This reaction persisted for two months and then the left eye was re-operated on and the fibrin was removed. In the right eye, during the follow up period, there was no increase in intraocular pressure and there were no inflammatory reactions either. It is known that after pediatric cataract surgery the inflammatory reaction is more severe than that after adult cataract surgery, and conversely the compliance of children to the treatment is low. Our patient had uveitis and a very high risk for an inflammatory reaction. In such patients, after cataract surgery, to prevent a postoperative inflammatory reaction, we can use an intracameral triamcinolone injection (0.04 mg/0.1 ml) confidently. Keywords : Uveitis, cataract, intracameral triamcinolone, inflammation