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. 2003 Aug;87(8):968-71.
doi: 10.1136/bjo.87.8.968.

Trans-Tenon's retrobulbar triamcinolone infusion for the treatment of uveitis

A A Okada  1 , T Wakabayashi, Y Morimura, S Kawahara, E Kojima, Y Asano, T Hida
Affiliations

Trans-Tenon's retrobulbar triamcinolone infusion for the treatment of uveitis

A A Okada et al. Br J Ophthalmol. 2003 Aug.

Abstract

Aim: To assess efficacy and complications of trans-Tenon's retrobulbar infusion of triamcinolone acetonide for posterior uveitic inflammation.

Methods: Non-randomised, uncontrolled, retrospective study of 51 eyes of 37 patients who underwent triamcinolone infusion for vitritis, cystoid macular oedema (CMO), or posterior retinal vasculitis using a long blunt cannula via an incision made through conjunctiva and Tenon's capsule.

Results: Overall clinical efficacy was 86%; 96% for vitritis, 82% for CMO, and 33% for posterior retinal vasculitis. Mean visual acuity improved within 1 month after triamcinolone infusion (p <0.05). Cataract progression and intraocular pressure elevation were observed in 31% and 27% of eyes, respectively.

Conclusion: Trans-Tenon's retrobulbar triamcinolone infusion may be a safe and effective treatment for posterior uveitic inflammation.

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