Safety and efficacy of suprachoroidal triamcinolone acetonide for the management of serous choroidal detachment prior to rhegmatogenous retinal detachment surgery: A Pilot study

Purpose: To study the safety and efficacy of pre?operative suprachoroidal triamcinolone acetonide (SCTA) for achieving reduction/resolution of serous choroidal detachment (CD) associated with rhegmatogenous retinal detachment (RRD). Methods: This was a prospective, noncomparative, interventional pilot study. All consecutive patients presenting with RD and coexisting CD underwent transconjunctival injection of SCTA before proceeding with vitrectomy/scleral buckle surgery. Sequential ultrasound B scans were performed for assessing the change in height of the CD. Results: The mean age of the cohort was 53.8 � 10.8 years (range: 39� years). The CD was present in a median of 3 quadrants; the cumulative mean CD height was 5.59 mm (range: 2.02�42 mm). Following SCTA, a successful response (>50% reduction) was seen in five eyes by day 3 and in two eyes by day 5. Three eyes failed to respond to SCTA and required surgical drainage before proceeding with vitrectomy. No intraprocedural injection?related complications were noted. A transient rise in the intraocular pressure (30 mmHg) was seen in one eye following vitrectomy and was managed successfully with topical antiglaucoma medications. Conclusion: Suprachoroidal administration of triamcinolone appears to be a safe and effective technique to achieve CD resolution in eyes with RRD.

Keywords

Choroidal detachment, needle, retinal detachment, suprachoroidal, triamcinolone acetonide

Citation

Kohli Gaurav Mohan, Shenoy Pratik, Halim Danish, Nigam Saurabh, Shetty Sachin, Talwar Dinesh, Sen Alok. Safety and efficacy of suprachoroidal triamcinolone acetonide for the management of serous choroidal detachment prior to rhegmatogenous retinal detachment surgery: A Pilot study. Indian Journal of Ophthalmology. 2022 Apr; 70(4): 1302-1306

URI

https://imsear.searo.who.int/handle/123456789/224248

Collections

Indian Journal of Ophthalmology

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