Importance of careful clinical examination and multimodal imaging before injecting intravitreal steroid

Autor: Naresh Babu, Piyush Kohli, Vedang Shah, Kim Ramasamy
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical Ophthalmology and Research, Vol 10, Iss 1, Pp 35-37 (2022)
Druh dokumentu: article
ISSN: 2320-3897
DOI: 10.4103/jcor.jcor_102_19
Popis: Intravitreal injections have now become the most preferred treatment for retinal vascular diseases. Intravitreal steroids are associated with complications such as cataracts, glaucoma, and central serous chorioretinopathy (CSCR). We report a case who developed CSCR after a single injection of intravitreal triamcinolone, given for the treatment of cystoid macular edema (CME) secondary to branch retinal venous occlusion (BRVO). On careful retrospective examination, we found that pachychoroid and a pigment epithelial detachment was present even before the injection was given. Four months postinjection, there was a recurrence of CME due to BRVO while there was no sign of CSCR. We emphasize on the importance of a careful clinical examination and appropriate interpretation of multimodal imaging before injecting intravitreal steroids.
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