title: Serous pigment epithelium detachment associated with age-related macular degeneration: a possible treatment approach.
abstract: To evaluate the effects of intravitreal triamcinolone acetonide (TA) as a monotherapy of serous Pigment Epithelial Detachment (PED) associated with AMD (Age-Related Macular Degeneration), this study has been performed. Seventeen patients (19 eyes) with serous PED associated with AMD were observed. All patients received 0.1ml (4mg) of intravitreal TA. The mean follow-up period was 18 months. Re-attachment of serous PED was observed in 37% of cases to the end of follow-up. In other cases, the height and length of serous PED significantly decreased. Visual acuity remained stable in all cases. No evidence of RPE tear or CNV development were noted. Before TA administration, intraocular pressure (IOP) was 20.18 ± 2.58 mmHg however, after intravitreal TA, IOP increased gradually and reached its maximum of all period of observation (23.25±1.85mmHg) six months after injection (P=0.031). In 7 (37%) of the cases, progression to cataract was observed after treatment. After surgery, the visual acuity in all cases increased by 0.2 to 0.5. As a conclusion, intravitreal TA decreases of both the height and length of serous PED associated with AMD after 18 months follow-up in most cases. The presented data provides support for the hypothesis regarding the possibility of monotherapy of serous PED with intravitreal TA.
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Nataliya
authors.initials: N
authors.lastname: V Pasyechnikova
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Volodymyr
authors.initials: V
authors.lastname: A Naumenko
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Andrii
authors.initials: A
authors.lastname: R Korol
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Oleg
authors.initials: O
authors.lastname: S Zadorozhnyy
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Taras
authors.initials: T
authors.lastname: B Kustrin
authors.affiliation: The Filatov Institute of Eye Diseases and Tissue Therapy of NAMS of Ukraine, Odessa, Ukraine.
authors.forename: Illya
authors.initials: I
authors.lastname: O Nasinnyk
keywords: Age-related macular degeneration; Serous pigment epithelium detachment; Triamcinolone acetonide