The Management of A Patient with Steroid-Induced Intraocular Pressure Elevation by Subtenon Triamcinolone Acetonide Deposit Excision
Turkish Journal of Clinical and Experimental Ophthalmology, cilt.20, sa.1, ss.63-67, 2025 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.37844/tj-ceo.2025.20.11
- Dergi Adı: Turkish Journal of Clinical and Experimental Ophthalmology
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.63-67
- Anahtar Kelimeler: macular edema, Ocular hypertension, subtenon injection, triamcinolone acetonide, uveitis
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Subtenon triamcinolone acetonide (TA) injection, one of the periocular injection methods, is effective in the treatment of ocular inflammatory diseases and uveitic macular edema. However, after subtenon TA injection, significant ocular complications such as intraocular pressure (IOP) elevation, cataracts, and upper eyelid ptosis may develop. Patients who develop elevated IOP may require medical and surgical treatment to control IOP. Surgical excision of subtenon deposits has been described as an effective method with a low side effect profile in treating refractory elevated IOP after subtenon TA. Here, we present the case of a 34-year-old female patient who had subtenon TA injection for uveitic macular edema and subsequently developed elevated IOP that could not be controlled with maximum medical therapy. Following surgical removal of the subtenon TA deposits, the patient experienced a decrease in IOP. This report underscores the potential utility of subtenon TA deposit excision in the treatment of steroid-induced ocular hypertension refractory to medical therapy after posterior subtenon TA injection.