MISADVENTURES OF INTRAVITREAL TRIAMCINOLONE ACETONIDE – A CASE SERIES

Periocular and orbital corticosteroid injections are still used as first choice for selective inflammatory conditions. In macular oedema secondary to diabetes (DME), vein occlusions, etc. intravitreal triamcinolone acetonide (IVTA) is an easily available, low cost and safe treatment option. This case series stresses upon the occurrence of unexpected sterile/infective endophthalmitis (SE/IE) following IVTA,its course and treatment.We encountered three eyes with SE/IE post IVTA.Treatment included vitreous tap,intravitreal injections and/or vitrectomy. SE resolved within 3-4 weeks with persistent floaters. One eye with IE was lost. Acute presumed sterile endophthalmitis following IVTA presents early. Visual outcomes are generally good.1