Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492007000500024 |
Resumo: | PURPOSE: To describe the use of 4 mg intravitreal triamcinolone acetonide (IVTA) for gyrate atrophy-related macular edema (ME) and to report anatomic and functional outcomes, during a nine-month period. CASE REPORT: A 27-year-old female complained of decreased vision since diagnosis of gyrate athrophy (GA), six years before admission. At presentation visual acuity was 20/100 in OD and 20/80 in OS. Ophthalmological examination disclosed significant cataract in OD, pseudophakia in OS and typical GA findings. Fluorescein angiography (FA) disclosed ME that was confirmed by optical coherence tomography (OCT), which also showed subfoveal fluid. OS was treated with a 4-mg IVTA injection. One month later, vision improved to 20/50+1 and foveal thickness decreased, with less leakage in FA. This picture was maintained up to six months, when there was recurrence of ME to a level similar to the baseline. At nine months, visual acuity dropped to 20/80, and ME was maintained, with remodeling in macular profile. CONCLUSION:There is a transient therapeutic effect with 4-mg IVTA injection for GA-related ME. After drug clearance, edema recurs, with return of visual acuity to pretreatment level. |
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Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case reportGyrate atrophy/drug therapyMacular edema, cystoid/drug therapyTriamcinolone acetonide/therapeutic useCase reportsPURPOSE: To describe the use of 4 mg intravitreal triamcinolone acetonide (IVTA) for gyrate atrophy-related macular edema (ME) and to report anatomic and functional outcomes, during a nine-month period. CASE REPORT: A 27-year-old female complained of decreased vision since diagnosis of gyrate athrophy (GA), six years before admission. At presentation visual acuity was 20/100 in OD and 20/80 in OS. Ophthalmological examination disclosed significant cataract in OD, pseudophakia in OS and typical GA findings. Fluorescein angiography (FA) disclosed ME that was confirmed by optical coherence tomography (OCT), which also showed subfoveal fluid. OS was treated with a 4-mg IVTA injection. One month later, vision improved to 20/50+1 and foveal thickness decreased, with less leakage in FA. This picture was maintained up to six months, when there was recurrence of ME to a level similar to the baseline. At nine months, visual acuity dropped to 20/80, and ME was maintained, with remodeling in macular profile. CONCLUSION:There is a transient therapeutic effect with 4-mg IVTA injection for GA-related ME. After drug clearance, edema recurs, with return of visual acuity to pretreatment level.Conselho Brasileiro de Oftalmologia2007-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492007000500024Arquivos Brasileiros de Oftalmologia v.70 n.5 2007reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492007000500024info:eu-repo/semantics/openAccessVasconcelos-Santos,Daniel VítorMagalhães,Érika PachecoNehemy,Márcio Bittareng2007-12-17T00:00:00Zoai:scielo:S0004-27492007000500024Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2007-12-17T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
title |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
spellingShingle |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report Vasconcelos-Santos,Daniel Vítor Gyrate atrophy/drug therapy Macular edema, cystoid/drug therapy Triamcinolone acetonide/therapeutic use Case reports |
title_short |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
title_full |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
title_fullStr |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
title_full_unstemmed |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
title_sort |
Macular edema associated with gyrate atrophy managed with intravitreal triamcinolone: a case report |
author |
Vasconcelos-Santos,Daniel Vítor |
author_facet |
Vasconcelos-Santos,Daniel Vítor Magalhães,Érika Pacheco Nehemy,Márcio Bittar |
author_role |
author |
author2 |
Magalhães,Érika Pacheco Nehemy,Márcio Bittar |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Vasconcelos-Santos,Daniel Vítor Magalhães,Érika Pacheco Nehemy,Márcio Bittar |
dc.subject.por.fl_str_mv |
Gyrate atrophy/drug therapy Macular edema, cystoid/drug therapy Triamcinolone acetonide/therapeutic use Case reports |
topic |
Gyrate atrophy/drug therapy Macular edema, cystoid/drug therapy Triamcinolone acetonide/therapeutic use Case reports |
description |
PURPOSE: To describe the use of 4 mg intravitreal triamcinolone acetonide (IVTA) for gyrate atrophy-related macular edema (ME) and to report anatomic and functional outcomes, during a nine-month period. CASE REPORT: A 27-year-old female complained of decreased vision since diagnosis of gyrate athrophy (GA), six years before admission. At presentation visual acuity was 20/100 in OD and 20/80 in OS. Ophthalmological examination disclosed significant cataract in OD, pseudophakia in OS and typical GA findings. Fluorescein angiography (FA) disclosed ME that was confirmed by optical coherence tomography (OCT), which also showed subfoveal fluid. OS was treated with a 4-mg IVTA injection. One month later, vision improved to 20/50+1 and foveal thickness decreased, with less leakage in FA. This picture was maintained up to six months, when there was recurrence of ME to a level similar to the baseline. At nine months, visual acuity dropped to 20/80, and ME was maintained, with remodeling in macular profile. CONCLUSION:There is a transient therapeutic effect with 4-mg IVTA injection for GA-related ME. After drug clearance, edema recurs, with return of visual acuity to pretreatment level. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492007000500024 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492007000500024 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27492007000500024 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.70 n.5 2007 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209024633470976 |