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NJBMS - Volume 4, Issue 4, April - June 2014

Pages: 210-215
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EVALUATION OF THE SAFETY AND EFFICACY OF INTRAVITREAL TRIAMCINOLONE ACETONIDE IN THE MANAGEMENT OF RESISTANT DIABETIC MACULAR EDEMA

Author: K. JAYASRI, A. SHANMUGASUNDARAM

Category: Clinical Sciences

Abstract:

Aim: To evaluate the safety and efficacy of intravitreal triamcinolone in the management of resistant diabetic macular edema.

Materials and methods: This prospective interventional study was done in 52 eyes of 40 patients with diabetic macular edema which persisted after adequate laser treatment for 3 months or more.0.1 ml of intravitreal injection of triamcinolone was given to all the patients and they were periodically reviewed over a period of 6 months. Statistical analysis was done with student’s t - test and percentage. An improvement of 2 Snellen lines was seen in 36 eyes (69.23%). There was a statistical significant (p<0.0001) reduction in macular thickness in the post injection visits. In 12 patients intraocular pressure was elevated which was medically controlled.

Conclusion: Intravitreal triamcinolone seems to be a safe therapeutic option in patients resistant to conventional laser photocoagulation.

Keywords: Fundus Fluorescein Angiography, Laser photocoagulation, macular edema, Triamcinolone acetonide.