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Impressum
Intraocular Injection of Crystalline Cortisone as Adjunctive Treatment of Diabetic Macular Edema
Soefker A., Jonas J. B.
Department of Ophthalmology and Eye Hospital, Faculty of Clinical Medicine Mannheim, Ruprecht-Karls-University Heidelberg
Objective: To report the clinical outcome of a diabetic patient
with macular edema treated with an intravitreal injection of crystalline
cortisone.
Methods: A 73-year-old patient with diabetes mellitus presented
with clinically significant diffuse macular edema due to non-proliferative
diabetic retinopathy. Despite grid laser coagulation in the macular region,
cystoid macular edema progressed, and within six months prior to the cortisone
injection, visual acuity declined from 0.25 to 0.16, and finally to 0.10.
The patient received a single intravitreal injection of triamcinolone
acetonide with topical anesthesia.
Results: After the intravitreal injection of triamcinolone acetonide,
visual acuity improved from 0.10 to 0.40 during the follow-up period spanning
5.0 months. Intraocular pressure increased to values up to 30 mm Hg prior
to antiglaucomatous treatment.
Conclusion: Intravitreal injection of triamcinolone acetonide may
be useful for treatment of diabetic macular edema resistant to conventional
therapy.