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KMID : 0360220150560111804
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Journal of the Korean Ophthalmological Society
2015 Volume.56 No. 11 p.1804 ~ p.1809
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Macular Infarction Following Intravitreal Triamcinolone Injection for Treatment of Central Retinal Vein Occlusion
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이재훈:Lee Jae-Hoon
김태경:Kim Tai-Kyong/이영춘:Lee Young-Chun/이미연:Lee Mee-Yon
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Abstract
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Purpose: To report a case of macular infarction following intravitreal triamcinolone injection for treatment of central retinal vein occlusion.
Case summary: A 75-year-old male visited our clinic for visual disturbance in his left eye and was diagnosed with macular infarction in his right eye. His medical history included type 2 diabetes, alcoholic liver cirrhosis, and hepatocellular carcinoma. After fundus examination, the patient was diagnosed with central vein occlusion with macular edema and intravitreal triamcinolone was administered to reduce edema. Within 1 week of treatment with the intravitreal injection, the patient experienced a significant decrease in visual acuity. Fluorescein angiogram showed an enlargement of the foveal avasacular zone, although optical coherence tomography (OCT) showed a decreased macular edema. Despite normalization of macular thickness on OCT and cessation of leakage on angiography, visual acuity remained at the same level during 2 months of follow-up.
Conclusions: Intravitreal anti-vascular endothelial growth factor injection as well as intravitreal triamcinolone injection can cause macular ischemia which should be considered with the adopted treatment regimen for patients with ischemic risk factors.
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KEYWORD
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Central retinal vein occlusion, Ischemic maculopathy, Triamcinolone acetonide
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