[Orbito-palpebral reaction after subtenonian injection of triamcinolone: case report]

Area of Science:

• Ophthalmology
• Pediatric Ophthalmology
• Pharmacology

Background:

• Intermediate uveitis is an inflammatory condition affecting the middle layer of the eye.
• Subtenon injections of corticosteroids, such as triamcinolone, are used to treat ocular inflammation.
• Accurate administration techniques are crucial to minimize potential complications.

Observation:

• A 6-year-old child with intermediate uveitis received a deep subtenon injection of triamcinolone acetonide.
• The patient developed intense eyelid edema and erythema approximately 30 minutes post-injection.
• These localized reactions are a known, albeit uncommon, complication of periocular corticosteroid injections.

Findings:

• The reported case highlights a localized inflammatory reaction following a deep subtenon triamcinolone injection.
• The symptoms, characterized by significant eyelid swelling and redness, appeared rapidly after administration.
• Complete resolution of the observed edema and erythema occurred within 24 to 48 hours, indicating a transient reaction.

Implications:

• This case underscores the importance of monitoring patients for local adverse effects after corticosteroid injections.
• Understanding the temporal profile of such reactions aids in diagnosis and management.
• While generally safe, deep subtenon injections require careful consideration of potential localized inflammatory responses, especially in pediatric patients.