Purpose: We describe the outcome of a 23-year-old man undergoing vitreoretinal surgery for a macula-off rhegmatogenous retinal detachment secondary to a giant retinal tear.
Methods: Patient underwent combined 25- gauge 3-port pars plana vitrectomy with scleral buckle, perfluorocarbon liquid, and perfluoropropane gas tamponade. During surgery, triamcinolone inadvertently entered the subretinal space and was retained.
Results: The subretinal triamcinolone deposits spontaneously absorbed over a 2-month period. No adverse sequelae were associated with this complication.
Conclusion: This may support avoiding aggressive mechanical removal of iatrogenic subretinal triamcinolone in the context of retinal detachment repair.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976146 | PMC |
| http://dx.doi.org/10.1177/2474126420974550 | DOI Listing |
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View Article and Find Full Text PDFANTERIOR SUBTENON TRIAMCINOLONE INJECTION FOR REFRACTORY MACULAR EDEMA: A Retrospective Case Series.
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Article Synopsis
- Posterior subtenon injection of triamcinolone acetonide is a treatment for persistent macular edema but can lead to complications like hemorrhage, retinal detachment, and infections.
- A case was presented of a patient with retinal detachment who received the injection, which unexpectedly resulted in the drug being deposited in the subretinal space, yet the patient did not experience any vision-threatening issues.
- This case emphasizes the need for caution in patients with a history of scleral buckling, as there is a risk for globe penetration and potential retinal complications during the injection.
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