Enaida Hiroshi, Sakamoto Taiji, Ueno Akifumi, Nakamura Takao, Noda Yoshihiro, Maruoka Keiko, Ishibashi Tatsuro
Department of Ophthalmology, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Am J Ophthalmol. 2003 Feb;135(2):243-6. doi: 10.1016/s0002-9394(02)01917-7.
We describe a case demonstrating a submacular deposition of triamcinolone acetonide (TA) after a TA-assisted vitrectomy for retinal detachment.
Interventional case report.
A 48-year-old Japanese man with rhegmatogenous retinal detachment in his left eye underwent a TA-assisted vitrectomy, endolaser photocoagulation, and sulfur hexafluoride (SF(6)) gas tamponade.
At the end of the surgery and the day after undergoing vitrectomy, the deposition of TA was observed between the retinal pigment epithelium and neurosensory retina in the submacular area. These TA granules disappeared after 2 weeks. Two months after the operation, the retina was observed to be successfully attached and no abnormality was observed in the macula. The patient's visual acuity improved to 20/16, and no ophthalmoscopic or functional damage was observed.
No apparent adverse effect was found in this case demonstrating a submacular deposition of TA.
我们描述了一例在曲安奈德（TA）辅助玻璃体切除术后黄斑下出现曲安奈德沉积的病例。
介入性病例报告。
一名48岁左眼孔源性视网膜脱离的日本男性接受了TA辅助玻璃体切除术、视网膜激光光凝术和六氟化硫（SF₆）气体填塞术。
手术结束时及玻璃体切除术后一天，在黄斑下区域的视网膜色素上皮和神经感觉视网膜之间观察到TA沉积。这些TA颗粒在2周后消失。术后两个月，观察到视网膜成功复位，黄斑区未观察到异常。患者视力提高到20/16，未观察到眼底镜或功能损害。
该例黄斑下出现TA沉积未发现明显不良反应。
