rss
Br J Ophthalmol 2003;87:968-971 doi:10.1136/bjo.87.8.968
  • Clinical science
    • Scientific reports

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

  1. A A Okada,
  2. T Wakabayashi,
  3. Y Morimura,
  4. S Kawahara,
  5. E Kojima,
  6. Y Asano,
  7. T Hida
  1. Kyorin Eye Center, Kyorin University School of Medicine, Tokyo, Japan
  1. 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
  • Accepted 20 December 2002

Abstract

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.

Footnotes

    Responses to this article

    • Comments on periocular corticosteroid therapy
      • Vasumathy Vedantham
      Br J Ophthalmol published online September 14, 2009
    • Much Ado About Periocular Corticosteroids
      • Vasumathy Vedantham
      Br J Ophthalmol published online September 14, 2009
    • Trans-Tenons Triamcinolone and Pretreatment
      • Salil A Mehta
      Br J Ophthalmol published online September 14, 2009
    • Trans-Tenon's retrobulbar triamcinolone infusions in uveitis
      • Annabelle A Okada,
      • Toshiko Wakabayashi
      Br J Ophthalmol published online September 14, 2009
    • Treatment for presumed Ocular tuberculosis
      • Salil A Mehta
      Br J Ophthalmol published online September 14, 2009

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.