J Korean Ophthalmol Soc.  2005 Jan;46(1):84-89.

The Effect of Intravitreal Triamcinolone Acetonide Injection according to the Diabetic Macular Edema Type

• Kim YG
• Yu SY
• Kwak HW

Abstract

PURPOSE
To determine if intravitreal injection of triamcinolone acetonide (IVTA) is effective for diabetic macular edema according to the type of macular edema. METHODS: This prospective, clinical series study was carried out on 31 eyes with diabetic macular edema, which had received an intravitreal injection of 4 mg of triamcinolone acetonide. We analyzed the visual acuity and foveal thickness at post-treatment 1 week, 1, 3, and 6 months according to the type of diabetic macular edema by optical coherence tomography (OCT). RESULTS: OCT showed 3 patterns of macular edema: cystoid type (18 eyes), sponge type (7 eyes), and serous detachment type (6 eyes). Visual acuity and foveal thickness improved in all patients. The cystoid types of macular edema show better response than the other types in visual acuity and foveal thickness. CONCLUSIONS: IVTA is a good therapeutic options for diabetic macular edema. IVTA is more effective in cystoid macular edema. Furthermore, study with more patients and focal laser treatment according to the type of macular edema may be necessary for further evaluation.

Keyword

Intravitreal injection; Macular edema; Triamcinolone acetonide

MeSH Terms

Humans
Intravitreal Injections
Macular Edema*
Porifera
Prospective Studies
Tomography, Optical Coherence
Triamcinolone Acetonide*
Triamcinolone*
Visual Acuity
Triamcinolone
Triamcinolone Acetonide