May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Intravitreal Triamcinolone for Refractory Pseudophakic Cystoid Macular Edema
Author Affiliations & Notes
  • M.L. Nelson
    Retina Service, Wills Eye Hospital, Philadelphia, PA, United States
  • A. Martidis
    Retina Service, Wills Eye Hospital, Philadelphia, PA, United States
  • D.J. Spinak
    Ophthalmology, Temple University, Philadelphia, PA, United States
  • M. Liu
    Ophthalmology, Temple University, Philadelphia, PA, United States
  • A. Sivalingam
    Ophthalmology, Temple University, Philadelphia, PA, United States
  • J.L. Federman
    Ophthalmology, Temple University, Philadelphia, PA, United States
  • Footnotes
    Commercial Relationships  M.L. Nelson, None; A. Martidis, None; D.J. Spinak, None; M. Liu, None; A. Sivalingam, None; J.L. Federman, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 226. doi:
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      M.L. Nelson, A. Martidis, D.J. Spinak, M. Liu, A. Sivalingam, J.L. Federman; Intravitreal Triamcinolone for Refractory Pseudophakic Cystoid Macular Edema . Invest. Ophthalmol. Vis. Sci. 2003;44(13):226.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: Evaluate the effectiveness of intravitreal triamcinolone acetonide in the treatment of refractory pseudophakic cystoid macular edema Methods: Records of fifteen patients treated with intravitreal triamcinolone acetonide for postoperative pseudophakic CME unresponsive to conventional therapy were analyzed retrospectively. Results: Sixteen eyes in fifteen patients had refractory pseudophakic CME that was treated with 4mg of intravitreal triamcinolone acetonide. Mean visual acuity improved an average of 3.0 lines (range 0-5 lines). Average follow-up was 5.6 months. One eye required retreatment. Four eyes received optical coherence tomography (OCT) before and after treatment. Retinal thickness decreased an average of 42% in these four eyes. Four eyes required treatment with topical ocular hypotensives due to a steroid response. One eye had a retinal detachment, which was successfully managed. Conclusions: Intravitreal triamcinolone acetonide appears to be a promising treatment for eyes with refractory pseudophakic CME. Further study is warranted to determine long-term efficacy and safety.

Keywords: inflammation • treatment outcomes of cataract surgery • macula/fovea 
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