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Retinal and choroidal vascular occlusion after posterior sub-tenon triamcinolone injection.
Am J Ophthalmol 2002; 134(1):132-4AJ

Abstract

PURPOSE

To report a case of retinal and choroidal vascular occlusion occurring as a complication after posterior sub-Tenon triamcinolone injection for treatment of uveitic cystoid macular edema.

DESIGN

Interventional case report.

METHODS

Retrospective study. A 32-year-old woman with uveitis and cystoid macular edema underwent a right posterior sub-Tenon injection of triamcinolone (40 mg/ml, 1 ml total) through a superotemporal approach after topical anesthesia. After the procedure, the patient experienced severe eye pain, orbital ecchymosis, and globe proptosis consistent with retrobulbar hemorrhage.

RESULTS

Dilated fundus examination of the right eye (OD) demonstrated multiple intraretinal hemorrhages with particulate white emboli occluding the retinal and choroidal vessels. Visual acuity was no light perception. Ocular massage and hypotensive therapy was initiated for an intraocular pressure of 50 mm Hg. Canthotomy and cantholysis were performed. A total of 39 months post-incident, her visual acuity improved to 20/100.

CONCLUSION

Posterior sub-Tenon triamcinolone injection can rarely result in retinal and choroidal occlusion. Immediate intervention may preserve limited visual acuity.

Authors+Show Affiliations

Cole Eye Institute, The Cleveland Clinic Foundation, Ohio 44195, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12095826

Citation

Moshfeghi, Darius M., et al. "Retinal and Choroidal Vascular Occlusion After Posterior Sub-tenon Triamcinolone Injection." American Journal of Ophthalmology, vol. 134, no. 1, 2002, pp. 132-4.
Moshfeghi DM, Lowder CY, Roth DB, et al. Retinal and choroidal vascular occlusion after posterior sub-tenon triamcinolone injection. Am J Ophthalmol. 2002;134(1):132-4.
Moshfeghi, D. M., Lowder, C. Y., Roth, D. B., & Kaiser, P. K. (2002). Retinal and choroidal vascular occlusion after posterior sub-tenon triamcinolone injection. American Journal of Ophthalmology, 134(1), pp. 132-4.
Moshfeghi DM, et al. Retinal and Choroidal Vascular Occlusion After Posterior Sub-tenon Triamcinolone Injection. Am J Ophthalmol. 2002;134(1):132-4. PubMed PMID: 12095826.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retinal and choroidal vascular occlusion after posterior sub-tenon triamcinolone injection. AU - Moshfeghi,Darius M, AU - Lowder,Careen Y, AU - Roth,Daniel B, AU - Kaiser,Peter K, PY - 2002/7/4/pubmed PY - 2002/7/23/medline PY - 2002/7/4/entrez SP - 132 EP - 4 JF - American journal of ophthalmology JO - Am. J. Ophthalmol. VL - 134 IS - 1 N2 - PURPOSE: To report a case of retinal and choroidal vascular occlusion occurring as a complication after posterior sub-Tenon triamcinolone injection for treatment of uveitic cystoid macular edema. DESIGN: Interventional case report. METHODS: Retrospective study. A 32-year-old woman with uveitis and cystoid macular edema underwent a right posterior sub-Tenon injection of triamcinolone (40 mg/ml, 1 ml total) through a superotemporal approach after topical anesthesia. After the procedure, the patient experienced severe eye pain, orbital ecchymosis, and globe proptosis consistent with retrobulbar hemorrhage. RESULTS: Dilated fundus examination of the right eye (OD) demonstrated multiple intraretinal hemorrhages with particulate white emboli occluding the retinal and choroidal vessels. Visual acuity was no light perception. Ocular massage and hypotensive therapy was initiated for an intraocular pressure of 50 mm Hg. Canthotomy and cantholysis were performed. A total of 39 months post-incident, her visual acuity improved to 20/100. CONCLUSION: Posterior sub-Tenon triamcinolone injection can rarely result in retinal and choroidal occlusion. Immediate intervention may preserve limited visual acuity. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/12095826/Retinal_and_choroidal_vascular_occlusion_after_posterior_sub_tenon_triamcinolone_injection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002939402014265 DB - PRIME DP - Unbound Medicine ER -