Abstract
Abstract: :
Purpose: analyze results of subtenonian triamcinolone acetonide therapy in occult choroidal neovascularization with extensive serous retinal pigment epithelium detachement. Methods: 16 eyes of 16 patients with occult CNV associated with RPED. All patients have got two subtenon triamcinolone injections performed three weeks apart, in a standard manner by passing 25 gauge needle through superotemporal conjunctival fornix. They have finally controlled three weeks after the second injection. Pre subtenonian first injection, 3 weeks after pre subtenonian second injection, and tree weeks after the second injection in has been evaluated: best corrected visual acuity (ETDRS tables), angiographic extension of RPED (Heidelberg confocal scanning laser), total macular volume (as defined by the OCT macular program), applanation Goldman tonometry. Results: no difference statistically significant were observed between pre treatment and post treatment of all parameters considered. Conclusions: subtenonian steroidal therapy do not give benefits for the outcome of these patients who have occult CNV whit extensive exudative RPED, because it improved neither their visual acuity nor their macular volume and their macular pigment epithelium detachement.
Keywords: corticosteroids • retinal pigment epithelium • age-related macular degeneration