Visual Outcome after Suprachoroidal Injection of Triamcinolone Acetate in Cystoid Macular Edema of Different Pathology | [Pakistan Journal of Medical and Health Sciences • 2022]

Author(s):

1. MUHAMMAD SAJID MUNIR: Niazi Medical & Dental College Sargodha,Pakistan

2. RABEYA REHMAN: Sargodha Medical College, Sargodha.Pakistan

3. SHAHID NAZIR: Pak Red Crescent Medical & Dental College Kasur,Pakistan

4. NUSRAT SHARIF: Pakistan Institute of Ophthalmology Al-Shifa Trust Eye Hospital Rawalpindi,Pakistan

5. MARIAM ZAKIA CHAUDHARI: Amna Inayat Medical College Lahore,Pakistan

6. SHERAZ SALEEM: Sargodha Medical College, Sargodha.Pakistan

Abstract:

To analyze visual outcome after suprachoroidal injection of triamcinolone acetate in cystoids macular edema of different pathology. Study design: Prospective interventional study. Place and duration of study: Department of Ophthalmology, Niazi Medical & Dental College Sargodha from 1st July 2021 to 31st December 2021. Methodology: Fifty patients were suffering from uveitis (Intermediate uveitis) most common, diabetic macular edema resistant to other treatments like maximum anti-vascular endothelial growth factor injections, vascular occlusion disorders were included. All participants were followed-up at 1-week, 1-month 3 and 6 months and best corrected visual acuity and intraocular pressure was also recorded. All procedure done in the main operation theatre under full sterilization condition and consider it as a part of major procedure. Results: Females appeared to be more in number than to males. In mostly patients the cause of cystoids macular edema was uveitis (Intermediate type) (n=30) followed by vascular disorder (n=10). There was a significant improvement after treatment on visual acuity according to the given results. Conclusion: Common cause of cystoids macular edema in the present study was uveitis followed by vascular disorders. There was a significant improvement after treatment on visual acuity according to the given results. Most patients achieve good visual activity after treatment.

Page(s): 164-165

DOI: 10.53350/pjmhs22165164

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 16, Issue: 05, Year: 2022

Keywords:

Treatment , Uveitis , Suprachoroidal injection , Cystoid macular edema

References:

[1] Ghoraba HH,Leila M,Elgouhary SM,Elgemai EEM,Abdelfattah HM,Ghoraba HH .2018 .Safety of high dose intravitreal triamcinolone acetonide as low-cost alternative to anti-vascular endothelial growth factor agents in lower-middleincome countries. Clin Opthalmol, 12 : 2383-91.

[2] Habot-Wilner Z,Noronha G,Wykoff CC .2019 .Suprachoroidally injected pharmacological agents for the treatment of chorio-retinal disease:a targeted approach. Acta Opthalmol, 97(5) : 460-72.

[3] Jonas JB,Sofker A,Degenring R .2003 .Intravitreal injection of triamcinolone for diffuse diabetic macular edema. Arch Opthalmol, 121 : 57-61.

[4] Danis R,Ciulla T,Pratt L,Anliker W. .2000 .Intravitreal triamcinolone acetonide in exudative age-related macular degeneration. Retina, 20 : 244-50.

[5] .2018 .Suprachoroidal triamcinolone acetonide for retinal vein occlusion: results of the Tanzanite study. Opthalmol Retina, 2(4) : 320-28.

[6] Br J Opthalmol .2002 .. , 86 : 247-8.

[7] Chieh JJ,Roth DB,Liu M,Belmont J,Nelson M,Regillo C .2005 .Intravitreal triamcinolone acetonide for diabetic macular edema. Retina, 25 : 828-34.

[8] Bakri SJ,Beer PM .2003 .The effect of Intravitreal triamcinolone acetonide in intraocular pressure. Opthalmic Surg Lasers Imaging, 34 : 386-90.

[9] Eur J Opthalmol .2004 .. , 14 : 321-4.

[10] Lee HY,Lee SY,Park JS .2009 .Comparison of photocoagulation with combined Intravitreal triamcinolone for diabetic macular edema. Korean J Opthalmol, 23 : 153-8.

[11] Patelli F,Fasolino G,Radice P,Russo S,Zumbo G,Tizio FMD .2005 .Time course of changes in retinal thickness and visual acuity after Intravitreal triamcinolone acetonide for diffuse diabetic edema with and without the previous macular laser treatment. Retina, 25(7) : 840-5.

[12] .2005 .. Arch Opthalmol, 123(10) : 1338-43.

[13] Tewari HK,Sony P,Chawla R,Garg SP,Venkatesh P .2005 .Prospective evaluation of Intravitreal triamcinolone acetonide injection in macular edema associated with retinal vascular disorders. Eur J Opthalmol, 15(5) : 619-26.

[14] Am J Opthalmol .2004 .. , 138(2) : 286-7.

[15] Young S,Larkin G,Branley M,Lightman S. Safety .2001 .and efficacy of Intravitreal triamcinolone for cystoid macular edema in uveitis. Clin Experiment Opthalmol, 29(1) : 2-6.

[16] Kaushik S,Gupta V,Gupta A,Dogra MR,Singh R .2004 .Intractable glaucoma following intravitreal triamcinolone in central retinal vein occlusion. Am J Opthalmol, 137(4) : 758-60.

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