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Visual improvement following trans-Tenon's retrobulbar triamcinolone acetonide infusion for polypoidal choroidal
Akiko Okubo1, Motoko Ito, Taro Kamisasanuki
1Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan. akiko@m2.kufm.kagoshima-u.ac.jp
Purpose:
To report a case of polypoidal choroidal vasculopathy (PCV) that was successfully treated by sub-Tenon's infusion of triamcinolone acetonide (TA).
Methods:
A 56-year-old Japanese man had PCV in his left eye with vision of 20/32. Fluorescein angiography demonstrated a hyper-fluorescent spot, and indocyanine green angiography showed marked leakage of dye from the polypoidal vessel. Optical coherence tomography showed anterior protrusion of highly reflective layers and subretinal fluid.
Results:
The patient underwent trans-Tenon's retrobulbar infusion of 12 mg TA. Subsequently, the reddish-orange lesion decreased in size and elevation with complete resolution of the serous retinal detachment, and visual acuity improved to 20/20. Visual acuity remained good through a 15-month follow-up during which the patient was free of endophthalmitis and elevated intraocular pressure.
Conclusions:
Trans-Tenon's retrobulbar TA infusion is potentially effective in treating PCV.
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