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Acute macular neuroretinopathy in a patient with birdshot chorioretinopathy after intravitreal triamcinolone suspension injection.
Maleki, Arash; Fernandez, Carla C; Philip, Andrew M; Manhapra, Ambika; Chang, Peter Y; Foster, C Stephen.
Afiliación
  • Maleki A; Massachusetts Eye Research and Surgery Institution, Waltham, MA, USA.
  • Fernandez CC; The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.
  • Philip AM; Massachusetts Eye Research and Surgery Institution, Waltham, MA, USA.
  • Manhapra A; The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.
  • Chang PY; Massachusetts Eye Research and Surgery Institution, Waltham, MA, USA.
  • Foster CS; The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.
Eur J Ophthalmol ; 33(5): NP35-NP40, 2023 Sep.
Article en En | MEDLINE | ID: mdl-36062613
PURPOSE: To report a case of acute macular neuroretinopathy (AMN) after intravitreal triamcinolone acetonide (TRIESENCE®) injection for cystoid macular edema secondary to birdshot chorioretinopathy. METHOD: A case report. PATIENT: A 62-year-old female. RESULTS: The patient presented with acutely decreased vision and a ring scotoma around her central vision three days after intravitreal triamcinolone acetonide (TRIESENCE®) injection for cystoid macular edema in her right eye (OD) secondary to birdshot chorioretinopathy. She had undergone pars plana vitrectomy, cataract extraction, and secondary intraocular lens implantation OD three months prior to the recent injection. Best-corrected visual acuity (BCVA) was 20/1000 OD and 20/50 OS. Intraocular pressure was 21 mmHg OD and 12 mmHg OS. Fluorescein angiography demonstrated a hypofluorescent area in the perifoveal zone OD. Optical coherence tomography OD depicted hyperreflective areas in the outer nuclear layer, outer plexiform layer, and retinal pigment epithelium. We diagnosed her with AMN OD and started her on brimonidine three times a day OD. She came back a week later with resolved scotoma and her vision improved to 20/60 OD. Five weeks later, BCVA was 20/40 and Intraocular pressures (IOP) was 12 mmHg OD. CONCLUSIONS AND IMPORTANCE: Intravitreal triamcinolone injection may be a cause of AMN with cystoid macular edema (CME) and borderline-high intraocular pressure. Brimonidine may be an effective treatment for these patients in the early course of the disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Edema Macular / Síndromes de Puntos Blancos Límite: Female / Humans / Middle aged Idioma: En Revista: Eur J Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Edema Macular / Síndromes de Puntos Blancos Límite: Female / Humans / Middle aged Idioma: En Revista: Eur J Ophthalmol Asunto de la revista: OFTALMOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos