Intravitreal injection of triamcinolone acetonide for serous macular detachment in a patient with systemic lupus erythematosus.
OBJECTIVE
To report our experience with intravitreal triamcinolone acetonide treatment of serous macular detachment in a patient with active systemic lupus erythematosus (SLE).


METHODS
Interventional case report.


RESULTS
A 38-year-old man who had SLE with bilateral serous macular detachment and retinopathy was treated with a single intravitreal injection of triamcinolone acetonide in one eye and two intravenous injections of a megadose steroid. Serous detachment in the eye injected with intravitreal steroid showed more significant improvement than that in the fellow eye.


CONCLUSIONS
Our case suggests that intravitreal triamcinolone acetonide injection may be considered for treatment of SLE-related serous macular detachment that does not respond to systemic steroid therapy.
From the *Department of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital, the †School of Medicine, Fu Jen Catholic University, the ‡School of Medicine, National Yang-Ming University, and the §School of Medicine, National Taiwan University, Taipei, Taiwan.
Chi-Hsien
CH
Peng
Cheng-Kuo
CK
Cheng