Filtering bleb rupture after intravitreal triamcinolone acetonide injection.

Abstract

Intravitreal triamcinolone acetonide is effective in treating various ocular disorders associated with inflammation and swelling of the retina. Unfortunately, the use of intraocular steroids is also associated with several side effects, including increased intraocular pressure and the development of cataracts. This article describes a case of intravitreal steroid injection resulting in filtering bleb rupture due to an acute rise of intraocular pressure, expands on the mechanism, and provides possible ways to avoid such an occurrence in thin, cystic filtering blebs.

• Authors: Malik Y Kahook, Robert J Noecker, Wael M Abdelghani, Joel S Schuman
• Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging) 2008 May-Jun Vol. 39 Issue 3 Pg. 232-3 ISSN: 1542-8877 [Print] United States
• PMID: 18556948 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Triamcinolone Acetonide
• Fluorescein

Topics

• Aged
• Conjunctiva (injuries)
• Female
• Filtering Surgery
• Fluorescein
• Glucocorticoids (adverse effects)
• Humans
• Injections
• Intraocular Pressure (drug effects)
• Macular Edema (drug therapy, etiology)
• Retinal Vein Occlusion (complications)
• Rupture
• Surgical Wound Dehiscence (diagnosis, etiology)
• Triamcinolone Acetonide (adverse effects)
• Vitreous Body