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. 2010 Fall;4(4):306-8.
doi: 10.1097/ICB.0b013e3181b5ee58.

Acute retinal necrosis after intraocular triamcinolone acetonide injection

Affiliations

Acute retinal necrosis after intraocular triamcinolone acetonide injection

Susie Chang et al. Retin Cases Brief Rep. 2010 Fall.

Abstract

Purpose: The purpose of this study was to report a case of acute retinal necrosis after combined cataract surgery and intracameral triamcinolone acetonide injection in a healthy elderly patient.

Methods: Testing used was a clinical examination including fundus photographs, fluo-rescein angiography, and serologic testing.

Results: A 75-year-old healthy white woman undergoing cataract extraction received an injection of intracameral triamcinolone acetonide as a substitute for postoperative topical steroids. Two weeks later, the patient developed acute retinal necrosis, which responded well to systemic antiviral therapy.

Conclusion: Acute retinal necrosis is a rare, but potentially devastating, complication that may be associated with intraocular triamcinolone acetonide injection.

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Figures

Figure 1
Figure 1
Color photograph OS: Acute retinal necrosis with vitreous haze, vessel attenuation, and peripheral confluent areas of retinal whitening, most notable inferiorly.

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