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Case Reports
. 2004 Sep;138(3):489-92.
doi: 10.1016/j.ajo.2004.03.025.

Pseudohypopyon after intravitreal triamcinolone acetonide injection for cystoid macular edema

Andrew A Moshfeghi  1 , Ingrid U Scott, Harry W Flynn Jr, Carmen A Puliafito
Affiliations
Case Reports

Pseudohypopyon after intravitreal triamcinolone acetonide injection for cystoid macular edema

Andrew A Moshfeghi et al. Am J Ophthalmol. 2004 Sep.

Abstract

Purpose: To report pseudohypopyon after intravitreal triamcinolone acetonide injection for cystoid macular edema.

Design: Retrospective, noncomparative, consecutive case series.

Methods: Records were reviewed of all patients who developed pseudohypopyon after intravitreal triamcinolone acetonide injection at Bascom Palmer Eye Institute between January 1, 2002 and February 1, 2004.

Results: A total of 828 intravitreal triamcinolone acetonide injections were administered to 686 patients during the study period. A pseudohypopyon (fine white crystalline opacities in the inferior anterior chamber angle) and suspended white crystalline opacities in the aqueous humor developed after 7 of the 828 injections (0.8%); all pseudohypopyons occurred within 3 days of injection and resolved completely within 2 weeks. None of the 686 patients developed clinically suspected infectious endophthalmitis.

Conclusions: A transient pseudohypopyon may occur in the early postinjection period after intravitreal triamcinolone acetonide injection. Unless progressive intraocular inflammation occurs, close observational management is indicated.

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