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Case Reports
. 2007 May-Jun;17(3):451-3.
doi: 10.1177/112067210701700333.

Macular hole and intravitreal injection of triamcinolone acetonide for macular edema due to central retinal vein occlusion

Affiliations
Case Reports

Macular hole and intravitreal injection of triamcinolone acetonide for macular edema due to central retinal vein occlusion

R Lattanzio et al. Eur J Ophthalmol. 2007 May-Jun.

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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