Macular hole and intravitreal injection of triamcinolone acetonide for macular edema due to central retinal vein occlusion |
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Authors: | Lattanzio R Ramoni A Scotti F Introini U |
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Affiliation: | Department of Ophthalmology, San Raffaele Scientific Institute, Milano, Italy. lattanzio.rosangela@hsr.it |
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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. |
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