Al-Haddad Christiane E, Jurdi Fadi A, Bashshur Ziad F
Department of Ophthalmology, American University of Beirut Medical Center, Beirut, Lebanon.
Am J Ophthalmol. 2004 Jun;137(6):1151-3. doi: 10.1016/j.ajo.2004.01.032.
To present a case of severe drop in vision in both eyes caused by diabetic papillopathy that was treated with an intravitreal injection of triamcinolone acetonide.
Interventional case report.
A diabetic patient with bilateral diabetic papillopathy and drop in vision received sequential intravitreal triamcinolone acetonide injections to both eyes.
Within 2 weeks of intravitreal injection, vision improved from counting fingers at 1 m to 20/50 OS, and from counting fingers at 4 m to 20/40 OD. This improvement was accompanied by resolution of disk swelling and macular edema. Vision remained stable in both eyes at 20/40 for 8 months of follow-up. No elevation of intraocular pressure beyond 21 mm Hg was noted at any time.
Diabetic papillopathy with severe drop in vision can be treated with intravitreal triamcinolone acetonide injection.
报告一例因糖尿病性视乳头病变导致双眼视力严重下降，经玻璃体腔注射曲安奈德治疗的病例。
介入性病例报告。
一名患有双侧糖尿病性视乳头病变且视力下降的糖尿病患者接受了双眼序贯性玻璃体腔曲安奈德注射。
玻璃体腔注射后2周内，视力从右眼1米处数指提高到20/50，左眼4米处数指提高到20/40。这种改善伴随着视盘肿胀和黄斑水肿的消退。随访8个月，双眼视力稳定在20/40。随访期间未发现眼压升高超过21 mmHg。
视力严重下降的糖尿病性视乳头病变可通过玻璃体腔注射曲安奈德进行治疗。
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