Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 1

Steroid-induced Ocular Hypertension in Case of Gyrate Atrophy Treated with Posterior Sub Tenon Triamcinolone Acetonide for Cystoid Macular Edema

Prasanth K Athota1*, Srinivasulu R Yekollu2, Satya S Yalla3, Raju K Vadrevu3 and Leela V Raju4

1Department of Anterior Segment and Neuroophthalmogy Services, Goutami Eye Institute, Rajahmundry, India
2Department of VitreoRetinal Services, Goutami Eye Institute, Rajahmundry, India
3Department of Comprehensive Ophthalmology, Goutami Eye Institute, Rajahmundry, India
4NYU Langone Health, New York, USA

*Corresponding Author: Prashanth K Athota, Department of Anterior Segment and Neuroophthalmogy Services, Goutami Eye Institute, Rajahmundry, India.

Received: November 16, 2022; Published: December 05, 2022


Gyrate atrophy is a rare congenital retinal dystrophy that causes cystoid macular edema (CME). The treatment options include intravitreal bevacizumab, intravitreal triamcinolone, topical carbonic anhydrase inhibitors, and subtenon steroid injections. The raised IOP may be controlled with IOP-lowering medication or can be refractory to any medication. Early tenotomy and removing PST deposits may give the patient early rehabilitation. We discuss a 17-year-old male presented with a painless diminution of vision in both eyes. The ocular examination revealed gyrate atrophy with cystoid macular edema. A sub-tenon injection of 40mg triamcinolone was given, for which the patient developed elevated intraocular pressure. The raised IOP was refractory to antiglaucoma medications. The patient was treated with a micropulse transscleral cyclodiode laser (MP3 laser) followed by surgical removal of subtenon triamcinolone deposits to reduce intraocular pressure.

Keywords: Cystoid Macular Edema; Gyrate Atrophy; Intraocular Pressure; Micropulse Transscleral Photocoagulation; Posterior Sub Tenon Triamcinolone


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Citation: Prasanth K Athota., et al. “Steroid-induced Ocular Hypertension in Case of Gyrate Atrophy Treated with Posterior Sub Tenon Triamcinolone Acetonide for Cystoid Macular Edema". Acta Scientific Clinical Case Reports 4.1 (2023): 06-08.

Copyright: © 2022 Prasanth K Athota., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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