title: Residual triamcinolone acetonide at macular hole after vitreous surgery.
abstract: Post traumatic macular holes have shown successful anatomic outcomes with vitrectomy with internal limiting membrane (ILM) peeling and gas injection. Intraocular use of triamcinolone acetonide (TA) crystals is gaining popularity in patients for visualization of the vitreous cortex, posterior vitreous detachment induction and ILM peeling during macular hole surgery. However, the possibility of residual steroid crystals clogging the hole at the conclusion of surgery exists. In our case, residual TA was observed biomicroscopically in the fovea on the seventh day after surgery, Optical Coherence Tomography (OCT) image of the eye showed a hyper reflective mass corresponding to the TA. However, a repeat OCT carried out four weeks after surgery showed recovery of the foveal morphologic features to an almost normal depression, with closure of the hole. Residual TA crystals in the macular hole post vitreous surgery may not interfere with ultimate macular hole closure or visual improvement.
authors.affiliation: Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi 11 00 29, India.
authors.forename: Atul
authors.initials: A
authors.lastname: Kumar
authors.forename: Subijay
authors.initials: S
authors.lastname: Sinha
authors.forename: Anoop
authors.initials: A
authors.lastname: Gupta
mesh_terms: D002648:Child; D003460:Crystallization; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012167:Retinal Perforations / Q000601:surgery*; D041623:Tomography, Optical Coherence; D014222:Triamcinolone Acetonide / Q000008:administration & dosage* / Q000009:adverse effects*; D014821:Vitrectomy
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide