MULTIPLE INTRAVITREAL TRIAMCINOLONE INJECTIONS FOR REFRACTORY DIABETIC MACULAR OEDEMA

The safety and efficacy of repeated intravitreal triamcinolone injections (IVTA) for diabetic macular oedema is unclear. In a prospective, observational case series of 27 eyes receiving IVTA for diabetic macular oedema, LogMAR visual acuity (VA) and central macular thickness (CMT) were measured at baseline and at regular intervals. Correlation was made with the number of IVTA injections. Although VA improved in all patients, neither the final VA nor the improvement in CMT correlated with the number of injections. This study suggests that repeat injections of IVTA continue to be as effective as the first injection over a 2-year period, but the probability of cataract surgery increases with number of injections.

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“SMALL BUBBLE TECHNIQUE” FOR SUCCESS OF “BIG BUBBLE”

Lamellar keratoplasty has heralded a new era in corneal transplant surgery. Deep anterior lamellar keratoplasty attempts to remove as much of the stroma as possible leaving the recipient’s normal …