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Efficiency of subtenon injection of triamcinolone acetonide for the treatment of post vitrectomy cystoid macular edema in patients with successful surgery of rhegmatogenous retinal detachment

Session Details

Session Title: Quick Fire Free Paper Session 02

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:35

Venue: Hall G1 (Level 2)

First Author: A.Putienko UKRAINE

Co Author(s):                  

Abstract Details

Purpose:

To compare the retinal thickness by OCT and visual acuity before and after subtenon injection of triamcinolone acetonide in patients with cystoid macular edema after successful primary vitrectomy due rhegmatogenous retinal detachment.

Setting:

Filatov Institute of Eye Diseases and Tissue Therapy, vitreoretinal surgery department, Odessa, Ukraine

Methods:

There were analyzed results of subtenon injection of 40 mg of triamcinolone acetonide in 18 patients (18 eyes) with resistible cystoid macular edema which developed in a period from 2 to 4 month after primary vitrectomy due to rhegmatogenous retinal detachment. Initial visual acuity was from 0,06 to 0,2. Average thickness of retina in macular area was 370 ± 35 μm (from 300 to 560 μm). Injection performed by standard method.

Results:

Any complications were not observed in all cases after operation. In 2 weeks after treatment visual acuity has improved in all cases and was from 0,1 to 0,35. The thickness of a retina was in a range from 220 to 285 μm and has averaged 243 ± 24 μm and was statistically lower in compare with the same index before operation (p<0,01). Follow up in two month showed the stable effect. Visual acuity and retinal thickness was not statistically different in compare in a period of 2 weeks after treatment.

Conclusions:

Subtenon application of triamcinolone acetonide in patients with cystoid macular edema which developed after primary vitrectomy due rhegmatogenous retinal detachment is highly effective and may be widely used.

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