Basak Samar K, Basak Soham
Department of Cornea, Disha Eye Hospitals, Kolkata, West Bengal, India.
Indian J Ophthalmol. 2020 Aug;68(8):1691-1693. doi: 10.4103/ijo.IJO_2322_19.
A 68-year-old woman with end-stage Stevens-Johnson syndrome developed cystoid macular edema (CME) 3 months following Boston keratoprosthesis type II (KPro-II) implantation and treated with single-dose injection of triamcinolone acetonide (TA) in the inferior peribulbar region. After 14 days, CME resolved completely, and she regained 20/30 vision. Seven months later, she developed recurrent CME. She was again treated with a similar peribulbar injection of TA. CME was resolved completely after 2 weeks with full visual and anatomical recovery. Here, we present a case of recurrent CME following KPro-II implantation responsive to peribulbar injection of TA, which may be the only effective treatment option.
一名68岁患有终末期史蒂文斯-约翰逊综合征的女性,在植入波士顿II型人工角膜(KPro-II)3个月后出现黄斑囊样水肿(CME),并在球周下部区域单次注射曲安奈德(TA)进行治疗。14天后,CME完全消退,她的视力恢复到20/30。7个月后,她再次出现复发性CME。她再次接受了类似的球周TA注射治疗。2周后CME完全消退,视力和眼部结构完全恢复。在此,我们报告一例KPro-II植入术后复发性CME对球周TA注射有反应的病例,这可能是唯一有效的治疗选择。