Periocular corticosteroid therapy: comments

• periocular corticosteroid therapy

I read with great interest the article by Okada et al,1 reporting the efficacy and complications of trans-Tenon’s retrobulbar infusion of triamcinolone acetonide for posterior uveitic inflammation. The authors have to be commended for the excellent description of this novel technique.

The efficacy of various methods of corticosteroid injection has always been a matter of debate with different studies giving different results. McCartney et al2 showed that the major route of penetration of steroids after subconjunctival injection was directly through the adjacent sclera, choroid, and retina. In addition, the authors described methods to inject steroids in the sub-Tenon’s space and concluded that the injections should be placed immediately adjacent to the site of intraocular inflammation that was under treatment. In contrast, in a study on …