Abstract
Purpose
To test the effectiveness of intravitreal triamcinolone acetonide in treating macular edema due to multiple vitreoretinal surgical procedures and uveitis after a penetrating trauma with metallic foreign body retention in a 37-year-old man.
Methods
The patient received two intravitreal injections of triamcinolone acetonide–2 mg/0.05 mL and 4 mg/0.1 ml-1 month apart. The 6-month follow-up included best-corrected visual acuity (BCVA) measurement and optical coherence tomography evaluation.
Results
After the first injection (2 mg) the foveal thickness (685 μm, as compared to a normal value of <165 μm) and the BCVA (20/200) remained unchanged with respect to the preinjection values; 1 week after the second injection (4 mg), the foveal thickness went down to 130 μm and the BCVA improved (20/80). Such results were unchanged at the 6-month control. No complications occurred.
Conclusions
A 2 mg dose of triamcinolone acetonide did not improve the anatomic and functional status of the macula. A 4 mg dose markedly improved BCVA and reduced the macular thickness in this case of macular edema.
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