Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost

Kazuki Matsuura,1 Ryu Uotani,2 Yuki Terasaka1 1Nojima Hospital, Tottori, Japan; 2Tottori University, Tottori, Japan Purpose: We report the successful treatment of a case of cystoid macular edema (CME) associated with topical tafluprost, which was accompanied by serous retinal detachment (SRD). Case:...

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Autores principales:	Matsuura K, Uotani R, Terasaka Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/59b1003105fa457786a26fe79cb28f6b
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spelling	oai:doaj.org-article:59b1003105fa457786a26fe79cb28f6b2021-12-02T01:10:18ZSubtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost1177-54671177-5483https://doaj.org/article/59b1003105fa457786a26fe79cb28f6b2013-07-01T00:00:00Zhttp://www.dovepress.com/subtenon-triamcinolone-injection-for-postoperative-cystoid-macular-ede-a13768https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Kazuki Matsuura,1 Ryu Uotani,2 Yuki Terasaka1 1Nojima Hospital, Tottori, Japan; 2Tottori University, Tottori, Japan Purpose: We report the successful treatment of a case of cystoid macular edema (CME) associated with topical tafluprost, which was accompanied by serous retinal detachment (SRD). Case: A 78-year-old woman underwent intraocular lens suture surgery, including anterior vitreous cutting, for crystalline lens dislocation in the right eye. Tafluprost was initiated 12 weeks after surgery. Intraocular pressure (IOP) was controlled at 10–14 mmHg. Visual acuity remained at 20/40–30/40. However, the patient complained of blurred vision (20/200) 9 months after surgery. CME accompanied by SRD was identified by optical coherence tomography (OCT) and treated with subtenon triamcinolone injection. Visual acuity rapidly increased to 20/50, and the volume of SRD decreased in a few days. Discontinuation of tafluprost and initiation of diclofenac eye drops improved visual acuity to 20/40 and resulted in improved OCT findings within a few weeks. Three months after injection, tafluprost was resumed along with diclofenac. No recurrence of CME occurred over the following 3 months, and IOP was controlled at 10–15 mmHg. Conclusion: SRD is considered to be a symptom of treatment-resistant CME, which may lead to poor visual acuity after recovery. In such cases, subtenon triamcinolone injection should be strongly considered at an early stage. Keywords: tafluprost, cystoid macular edema, serous retinal detachment, subtenon triamcinoloneMatsuura KUotani RTerasaka YDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1525-1528 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Matsuura K Uotani R Terasaka Y Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
description	Kazuki Matsuura,1 Ryu Uotani,2 Yuki Terasaka1 1Nojima Hospital, Tottori, Japan; 2Tottori University, Tottori, Japan Purpose: We report the successful treatment of a case of cystoid macular edema (CME) associated with topical tafluprost, which was accompanied by serous retinal detachment (SRD). Case: A 78-year-old woman underwent intraocular lens suture surgery, including anterior vitreous cutting, for crystalline lens dislocation in the right eye. Tafluprost was initiated 12 weeks after surgery. Intraocular pressure (IOP) was controlled at 10–14 mmHg. Visual acuity remained at 20/40–30/40. However, the patient complained of blurred vision (20/200) 9 months after surgery. CME accompanied by SRD was identified by optical coherence tomography (OCT) and treated with subtenon triamcinolone injection. Visual acuity rapidly increased to 20/50, and the volume of SRD decreased in a few days. Discontinuation of tafluprost and initiation of diclofenac eye drops improved visual acuity to 20/40 and resulted in improved OCT findings within a few weeks. Three months after injection, tafluprost was resumed along with diclofenac. No recurrence of CME occurred over the following 3 months, and IOP was controlled at 10–15 mmHg. Conclusion: SRD is considered to be a symptom of treatment-resistant CME, which may lead to poor visual acuity after recovery. In such cases, subtenon triamcinolone injection should be strongly considered at an early stage. Keywords: tafluprost, cystoid macular edema, serous retinal detachment, subtenon triamcinolone
format	article
author	Matsuura K Uotani R Terasaka Y
author_facet	Matsuura K Uotani R Terasaka Y
author_sort	Matsuura K
title	Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
title_short	Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
title_full	Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
title_fullStr	Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
title_full_unstemmed	Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
title_sort	subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/59b1003105fa457786a26fe79cb28f6b
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Subtenon triamcinolone injection for postoperative cystoid macular edema associated with tafluprost

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