Visual improvement following trans-Tenon’s retrobulbar triamcinolone acetonide infusion for polypoidal choroidal vasculopathy
- Resource Type
- Original Paper
- Authors
- Okubo, Akiko; Ito, Motoko; Kamisasanuki, Taro; Sakamoto, Taiji
- Source
- Graefe's Archive for Clinical and Experimental Ophthalmology. August 2005 243(8):837-839
- Subject
- Triamcinolone acetonide
Plypoidal choroidal vasculopathy
-<%3Fxm-insertion%5Fmark%5Fend%3F>Tenon%27s+infusion%22">Sub-Tenon’s infusion
- Language
- English
- ISSN
- 0721-832X
1435-702X
Purpose:To report a case of polypoidal choroidal vasculopathy (PCV) that was successfully treated by sub-Tenon’s infusion of triamcinolone acetonide (TA).Methods:A 56-year-old Japanese man had PCV in his left eye with vision of 20/32. Fluorescein angiography demonstrated a hyperfluorescent spot, and indocyanine green angiography showed marked leakage of dye from the polypoidal vessel. Optical coherence tomography showed anterior protrusion of highly reflective layers and subretinal fluid.Results:The patient underwent trans-Tenon’s retrobulbar infusion of 12 mg TA. Subsequently, the reddish-orange lesion decreased in size and elevation with complete resolution of the serous retinal detachment, and visual acuity improved to 20/20. Visual acuity remained good through a 15-month follow-up during which the patient was free of endophthalmitis and elevated intraocular pressure.Conclusions:Trans-Tenon’s retrobulbar TA infusion is potentially effective in treating PCV.