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Published on: July 23, 2016
Multiple repeated intravitreal triamcinolone treatments for radiation-induced macular edema
David A Eichenbaum1, Jeffery S Heier
1From Ophthalmic Consultants of Boston, Boston, Massachusetts.
Background And Purpose:
This report discusses a patient with a predictably and repetitively favorable anatomic and functional response to intravitreal triamcinolone for radiation-induced macular edema. The purpose of this report is to demonstrate a situation where this treatment may have a favorable outcome over time.
Method:
Retrospective interventional case study.
Result:
Restoration of normal macular contour as well as maintenance of good vision after several treatments with intravitreal triamcinolone.
Conclusion:
Intravitreal triamcinolone is a well-established treatment for macular edema. In the vast majority of cases, its effect is transient, and additional treatments are necessary. It is important to realize that, in certain cases which are effectively treated with this modality, it may allow for preservation of good vision over time. One must be vigilant for the known complications of intravitreal triamcinolone, especially increased intraocular pressure and cataract progression.
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