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Case Reports
. 2024 Jun 27;17(2):281-284.
doi: 10.4103/ojo.ojo_105_23. eCollection 2024 May-Aug.

Suprachoroidal triamcinolone for alexandrite laser-induced macular burn

Ameen Marashi  1 , Marwa Baba  1 , Quratulain Paracha  2
Affiliations
Case Reports

Suprachoroidal triamcinolone for alexandrite laser-induced macular burn

Ameen Marashi et al. Oman J Ophthalmol. .

Abstract

Two days after treatment for unwanted facial hair by alexandrite laser, a young female presented with decreased vision in the right eye. During the procedure, she was not wearing protective eye goggles. Ocular examination showed a round whitish lesion at the foveal region with visual acuity of 20/400. The left eye was unremarkable. She was treated immediately with a suprachoroidal injection of triamcinolone acetonide delivered with a custom-made needle. This resulted in the improvement of visual acuity and restoration of foveal anatomy over 1-year period.

Keywords: Alexandrite laser; macular burn; suprachoroidal triamcinolone.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Fundus image of the right eye at baseline shows a whitish reaction in the center of the fovea due to foveal burn by alexandrite laser. (b) Optical coherence topography (OCT) image of the right eye reveals discontinuation and disruption of the ellipsoid zone, interdigitation zone, and overlying tissue. (c-e) Fundus image of the right eye after 1 week, and 1 month of triamcinolone suprachoroidal injection shows a decrease in the size of the lesion. (d-f) OCT image of the right eye after 1 week and 1 month of triamcinolone suprachoroidal injection shows improvement in the size of the lesion. (g) Fundus image of the right eye after 1 year of follow-up reveals tiny residual foveal lesion. (h) OCT image of the right eye after 1 year of follow-up shows improvement in the anatomical structure of the fovea
Figure 2
Figure 2
(a)The tools are scissors, calipers, blade, Luer slip syringe, 30-gauge needle, irrigating cannula, and needle-nose pliers.(b) Measuring the needle's entire length, including the portion embedded in the plastic. (c)Measuring 2.5 mm for the plastic stopper (less than 1 mm for the needle, and 1.5 mm for the rubber seal).(d) cutting the syringe using a blade as per the specified measurements.(e) Trimming the rubber seal's protrusions with scissors to prepare the stopper's rubber part.(f) Fitting the rubber onto the prepped plastic Luer slip.(g) Employing the needle-nosed pliers to align the irrigating tube.(h) Inserting the irrigating cannula into the rubber seal through the rubber ring.(i) Using the irrigating cannula as a guide to putting the 30-gauge needle out of the rubber seal.(j) Reattaching the plastic Luer slip to the plastic portion of the 30-gauge needle
See this image and copyright information in PMC

References

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