SCIENTIFIC REPORT

Trans-Tenon’s retrobulbar triamcinolone infusion for the treatment of uveitis

A A Okada, T Wakabayashi, Y Morimura, S Kawahara, E Kojima, Y Asano and T Hida

Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, Japan

Correspondence to:
Correspondence to:
Annabelle A Okada, MD, Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo 181–8611 Japan;
aokada{at}po.iijnet.or.jp

Aim: To assess efficacy and complications of trans-Tenon’s retrobulbar infusion of triamcinolone acetonide for posterior uveitic inflammation.

Methods: Non-randomised, uncontrolled, retrospective study of 51 eyes of 37 patients who underwent triamcinolone infusion for vitritis, cystoid macular oedema (CMO), or posterior retinal vasculitis using a long blunt cannula via an incision made through conjunctiva and Tenon’s capsule.

Results: Overall clinical efficacy was 86%; 96% for vitritis, 82% for CMO, and 33% for posterior retinal vasculitis. Mean visual acuity improved within 1 month after triamcinolone infusion (p <0.05). Cataract progression and intraocular pressure elevation were observed in 31% and 27% of eyes, respectively.

Conclusion: Trans-Tenon’s retrobulbar triamcinolone infusion may be a safe and effective treatment for posterior uveitic inflammation.

Keywords: uveitis; cystoid macular oedema; vitritis; retrobulbar injection; triamcinolone acetonide

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

• Kawaji, T, Takano, A, Inomata, Y, Sagara, N, Iwao, K, Inatani, M, Fukushima, M, Tanihara, H (2008). Trans-Tenon's retrobulbar triamcinolone acetonide injection for macular oedema related to branch retinal vein occlusion. Br. J. Ophthalmol. 92: 81-83 [Abstract] [Full Text]  
• Mizuno, S., Nishiwaki, A., Morita, H., Miyake, T., Ogura, Y. (2007). Effects of Periocular Administration of Triamcinolone Acetonide on Leukocyte-Endothelium Interactions in the Ischemic Retina. IOVS 48: 2831-2836 [Abstract] [Full Text]  
• Gutfleisch, M., Spital, G., Mingels, A., Pauleikhoff, D., Lommatzsch, A., Heiligenhaus, A. (2007). Pars plana vitrectomy with intravitreal triamcinolone: effect on uveitic cystoid macular oedema and treatment limitations. Br. J. Ophthalmol. 91: 345-348 [Abstract] [Full Text]  
• Okada, A A, Wakabayashi, T, Kojima, E, Asano, Y, Hida, T (2004). Trans-Tenon's retrobulbar triamcinolone infusion for small choroidal neovascularisation. Br. J. Ophthalmol. 88: 1097-1098 [Full Text]  
• Okada, A A, Wakabayashi, T (2004). Authors' reply. Br. J. Ophthalmol. 88: 1102-1103 [Full Text]  
• Vedantham, V (2004). Periocular corticosteroid therapy: comments. Br. J. Ophthalmol. 88: 724-725 [Full Text]  

eLetters:

Read all eLetters

Trans-Tenons Triamcinolone and Pretreatment

Salil A Mehta

BJO Online, 30 Sep 2003 [Full text]

Comments on periocular corticosteroid therapy

Vasumathy Vedantham

BJO Online, 30 Sep 2003 [Full text]

Trans-Tenon's retrobulbar triamcinolone infusions in uveitis

Annabelle A Okada, et al.

BJO Online, 17 Nov 2003 [Full text]

Much Ado About Periocular Corticosteroids

Vasumathy Vedantham

BJO Online, 28 Nov 2003 [Full text]

Treatment for presumed Ocular tuberculosis

Salil A Mehta

BJO Online, 22 Jan 2004 [Full text]