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Case Reports
. 2013 Apr;61(4):179-82.
doi: 10.4103/0301-4738.112165.

Traumatic chorioretinal folds treated with intra-vitreal triamcinolone injection

Kook Young Kim  1 , Hyung-Woo Kwak, Moosang Kim, Seung-Young Yu
Affiliations
Case Reports

Traumatic chorioretinal folds treated with intra-vitreal triamcinolone injection

Kook Young Kim et al. Indian J Ophthalmol. 2013 Apr.

Abstract

A 34-year-old male visited the hospital due to decreased visual acuity in the left eye following an injury from a car accident. In the left eye, best-corrected visual acuity (BCVA) was hand motion and intraocular pressure (IOP) was 8 mmHg. Choroidal vasodilation and chorioretinal folds were observed by spectral domain-optical coherence tomography (SD-OCT). Topical and systemic steroid treatments did not improve the chorioretinal folds. Twelve months after the injury, intra-vitreal triamcinolone (4 mg/0.1 ml) was injected. Six months after intra-vitreal triamcinolone injection, BCVA in the left eye had improved to 20/100. Fundus examination showed improvement in retinal vascular tortuosity and SD-OCT revealed improvements in choroidal vasodilation and chorioretinal folds. Intra-vitreal triamcinolone injection (IVTI) was effective against traumatic chorioretinal folds with no recurrence based on objective observation by fundus photography and SD-OCT.

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Conflict of interest statement

Conflict of Interest: No.

Figures

Figure 1
Figure 1
(a) Pre-operative facial computed tomography scan showing multiple fractures of the left inferior and maxillary sinus wall, and intact eyeball, (b) Postoperative facial computed tomography scan showing fixation of the fracture sites with titanium plates and screws, and Medpore®
Figure 2
Figure 2
(a) At initial presentation, fundus photography and SD-OCT of the left eye showing vitreous hemorrhage, retinal hemorrhage, and lamellar macular hole, (b) At 1 month after the initial trauma, fundus photography showing retinal vascular tortuosity and chorioretinal folds. OCT shows the wavy appearance of the hyper-reflective line corresponding to the retinal pigment epithelium as well as the underlying choroid. The white arrows indicate choroidal vasodilation
Figure 3
Figure 3
(a) Autofluorescence image pre-IVTI showing an alternating pattern of light and dark bands, as well as linear bead-like areas of hyper-autofluorescence. SD-OCT showing the wavy appearance of the hyper-reflective line corresponding to the retinal pigment epithelium as well as the underlying dilated choroidal vessels, (b) Autofluorescence image post-IVTI showing improved alternating pattern of light and dark bands as well as linear beadlike areas of hyper-autofluorescence. SD-OCT showing flattened retinal pigment epithelium, improved chorioretinal folds, dilated choroidal vessels, and formation of epiretinal membranes
See this image and copyright information in PMC

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