TJ-CEO
2007 , Vol 2 , Num 1
Cataract and Glaucoma After Intravitreal Triamcinolone Injection in a Child
1Fatih Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Ankara, Yard. Doç. Dr.2Fatih Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Ankara, Uzm. Dr.
3Fatih Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Ankara, Prof. Dr. A fourteen-years-old male boy presented with decreased vision of his left eye. Two successive intravitreal triamcinolone injections was performed in an other clinic 25 and 16 months before the presentation for a presumed diagnosis of uveitis. His visual acuity had decreased to 0.05 OS. On biomicroscopy, posterior subcapsular cataract was present. Intraocular pressure rised to 49 mm Hg OS with a glaucomatous cupping of 0.9 and severe glaucomatous visual field defect. After 15 days with antiglaucomatous therapy, IOP returned to normal levels in the left eye. Cup/ disk area ratio was 0.5 with a slight improvement in visual field. Two months after the initiation of therapy, the recurrence of iridocyclitis attack which could be controlled with medical therapy was determined. After intravitreal steroid injections, patients should be closely followed with a complete understanding of potential complications. Keywords : Intravitreal triamcinolone, glaucoma, cataract, iridocyclitis