J Korean Ophthalmol Soc.  2012 Jan;53(1):175-179. 10.3341/jkos.2012.53.1.175.

Surgical Removal of Sub-Tenon Triamcinolone Acetonide in Cases of Increased Intraocular Pressure after Sub-Tenon Injection

Affiliations
  • 1Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, Korea. jps11@hanmail.net

Abstract

PURPOSE
To report cases of the surgical removal of sub-Tenon triamcinolone acetonide to control increased intraocular pressure after sub-Tenon triamcinolone acetonide injection.
CASE SUMMARY
Three patients had no response to maximal medical treatment to control suddenly increased intraocular pressure after sub-Tenon triamcinolone acetonide (40 mg) injection to treat diabetic macular edema. The anterior chamber angle was open in all patients, and there was no neovascularization in the iris or anterior chamber angle. Slit lamp biomicroscopy showed deposition of triamcinolone acetonide in the inferior sub-Tenon area. Intraocular pressure was decreased within the normal range without any medication after removal of triamcinolone acetonide precipitates.
CONCLUSIONS
Surgical removal of sub-Tenon triamcinolone acetonide can be as a primary treatment option in cases of increased intraocular pressure which shows no response to maximal medical treatment after sub-Tenon triamcinolone acetonide injection.

Keyword

Diabetic macular edema; Intraocular pressure; Triamcinolone acetonide

MeSH Terms

Anterior Chamber
Humans
Intraocular Pressure
Iris
Macular Edema
Reference Values
Triamcinolone
Triamcinolone Acetonide
Triamcinolone
Triamcinolone Acetonide

Figure

  • Figure 1. Slit lamp biomicroscopy shows precipitates of triamcinolone acetonide in the inferior sub-Tenon after injection of sub-Tenon triamcinolone acetonide.

  • Figure 2. Sub-Tenon triamcinolone acetonide and Tenon's capsule is removed with forceps and tenotomy scissors after dissection of the conjunctiva.


Reference

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