TJ-CEO
2025 , Vol 20 , Num 1
The Management of A Patient with Steroid-Induced Intraocular Pressure Elevation by Subtenon Triamcinolone Acetonide Deposit Excision
Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz hastalıkları, Ankara, Türkiye
DOI :
10.37844/TJ-CEO.2025.20.11
Subtenon triamcinolone acetonide (TA) injection, one of the periocular injection methods, is effective in the treatment of ocular
inflammatory diseases and uveitic macular edema. However, after subtenon TA injection, significant ocular complications such as
intraocular pressure (IOP) elevation, cataracts, and upper eyelid ptosis may develop. Patients who develop elevated IOP may require
medical and surgical treatment to control IOP. Surgical excision of subtenon deposits has been described as an effective method with a
low side effect profile in treating refractory elevated IOP after subtenon TA. Here, we present the case of a 34-year-old female patient
who had subtenon TA injection for uveitic macular edema and subsequently developed elevated IOP that could not be controlled
with maximum medical therapy. Following surgical removal of the subtenon TA deposits, the patient experienced a decrease in IOP.
This report underscores the potential utility of subtenon TA deposit excision in the treatment of steroid-induced ocular hypertension
refractory to medical therapy after posterior subtenon TA injection.
Keywords :
Ocular hypertension; triamcinolone acetonide; uveitis; macular edema; subtenon injection