Macular hole and intravitreal injection of triamcinolone acetonide for macular edema due to central retinal vein occlusion.

Abstract

PURPOSE:

To report a case of macular hole progression after intravitreal injection of triamcinolone acetonide (IVTA) for chronic macular edema secondary to nonischemic central retinal vein occlusion (CRVO).

METHODS:

A 33-year-old woman with massive macular edema after CRVO underwent IVTA. Optical coherence tomography (OCT) and fluorescein angiography were performed before and after the procedure.

RESULTS:

At the 1-week IVTA injection control, the patient's best-corrected visual acuity improved from 20/400 to 20/200 and OCT detected a progression of macular hole stage.

CONCLUSIONS:

IVTA steroid injection may provide a significant improvement in macular edema, but injection-related complications may occur such as this uncommon macular reaction resulting in permanent visual loss.

• Authors: R Lattanzio, A Ramoni, F Scotti, U Introini
• Journal: European journal of ophthalmology (Eur J Ophthalmol) 2007 May-Jun Vol. 17 Issue 3 Pg. 451-3 ISSN: 1120-6721 [Print] United States
• PMID: 17534835 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Triamcinolone Acetonide

Topics

• Adult
• Disease Progression
• Female
• Fluorescein Angiography
• Glucocorticoids (adverse effects, therapeutic use)
• Humans
• Injections
• Macular Edema (drug therapy, etiology)
• Microscopy, Acoustic
• Retinal Perforations (chemically induced, diagnosis, physiopathology)
• Retinal Vein Occlusion (complications)
• Tomography, Optical Coherence
• Triamcinolone Acetonide (adverse effects, therapeutic use)
• Visual Acuity
• Vitreous Body