Posterior sub-Tenon injections of repository corticosteroids in uveitis patients with cystoid macular edema.
Repository corticosteroid was injected into the posterior sub-Tenon space in 29 cases (39 eyes) of cystoid macular edema (CME) secondary to uveitis. There were 12 cases of Behçet's disease, 7 cases of sarcoidosis, one case of tuberculous uveitis, and 9 cases of etiology unknown uveitis. In some of the patients injections were repeated 2 to 7 times at intervals of more than 2 weeks. Twenty-two of the 39 treated eyes (56.4%) showed visual improvement in at least two lines of visual acuity. Fifteen of the 22 eyes had maintained improved visual acuity over 6 months. Eleven eyes showed no improvement in vision. Most of them already had poor visual acuity (0.2 or less) before the injections. Complications of the treatment included cataract in 6 eyes, glaucoma in one, and blepharoptosis in one. Injection of repository corticosteroids into the posterior sub-Tenon space is of value in the treatment of CME secondary to uveitis. However, we have to beware of the complications of treatment.
Yoshikawa
K
K
Department of Ophthalmology, Hokkaido University School of Medicine, Sapporo.
Kotake
S
S
Ichiishi
A
A
Sasamoto
Y
Y
Kosaka
S
S
Matsuda
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D005205:Fascia / Q000187:drug effects; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007267:Injections; D008269:Macular Edema / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D008875:Middle Aged; D009915:Orbit / Q000187:drug effects; D011379:Prognosis; D013535:Suspensions; D014221:Triamcinolone / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D014605:Uveitis / Q000150:complications*; D014792:Visual Acuity
D013535:Suspensions; D014221:Triamcinolone; D008775:Methylprednisolone