改良型廉价针用于白内障术后囊样黄斑水肿的玻璃体内曲安奈德注射。
Modified inexpensive needle for suprachoroidal triamcinolone acetonide injections in pseudophakic cystoid macular edema.
机构信息
Post Graduate Department of Ophthalmology, INHS Asvini, Colaba Mumbai, Maharashtra, India.
出版信息
Indian J Ophthalmol. 2021 Mar;69(3):765-767. doi: 10.4103/ijo.IJO_1464_20.
Abstract
Pseudophakic cystoid macular edema (PCME) is one of the leading causes of reduced vision, after cataract surgery. Topical steroids and nonsteroidal anti-inflammatory drops are frequently used in the management; however, intravitreal injections may be required for chronic cases. Suprachoroidal injection of preservative free Triamcinolone acetonide is a recent addition to the therapeutic armamentarium of ophthalmologists for treatment of cystoid macular edema of varied etiology. Though the drug is commercially available at a reasonable cost, the microneedle is not commonly available. We modified a 26 G needle for safe and cost-effective delivery of preservative-free suprachoroidal triamcinolone acetonide (SCT). In the current series of three patients with non-resolving PCME, macular edema resolved and vision improved over 3 months.
摘要
后发性白内障囊样水肿（PCME）是白内障手术后视力下降的主要原因之一。皮质类固醇和非甾体抗炎滴眼剂常用于治疗，但对于慢性病例可能需要玻璃体腔内注射。眼内注射无防腐剂的曲安奈德是眼科医生治疗各种病因的囊样黄斑水肿的最新治疗方法。虽然该药物在合理的成本下可在商业上获得，但微针并不常见。我们为安全和经济有效地输送无防腐剂的玻璃体内曲安奈德（SCT），对 26G 针进行了改良。在目前的三例非持续性 PCME 患者中，3 个月后黄斑水肿消退，视力改善。
相似文献
1
Modified inexpensive needle for suprachoroidal triamcinolone acetonide injections in pseudophakic cystoid macular edema.
Indian J Ophthalmol. 2021 Mar;69(3):765-767. doi: 10.4103/ijo.IJO_1464_20.
2
Intravitreal triamcinolone acetonide for pseudophakic cystoid macular edema.
Am J Ophthalmol. 2003 Aug;136(2):384-6. doi: 10.1016/s0002-9394(03)00230-7.
3
Intravitreal triamcinolone for refractory pseudophakic macular edema.
Am J Ophthalmol. 2003 Feb;135(2):246-9. doi: 10.1016/s0002-9394(02)01938-4.
4
Cystoid macular edema responds to intravitreal triamcinolone and rebounds after intravitreal bevacizumab.
Ophthalmic Surg Lasers Imaging. 2009 Jul-Aug;40(4):413-5. doi: 10.3928/15428877-20096030-12.
5
Treatment of cystoid macular edema related to retinitis pigmentosa with intravitreal triamcinolone acetonide.
Ophthalmic Surg Lasers Imaging. 2003 Sep-Oct;34(5):398-400.
6
Intraocular triamcinolone acetonide for pseudophakic cystoid macular edema: optical coherence tomography and multifocal electroretinography study.
Retina. 2007 Feb;27(2):159-64. doi: 10.1097/IAE.0b013e31802e3e5c.
7
Intravitreal triamcinolone acetonide for cystoid macular edema in nonischemic central retinal vein occlusion.
Am J Ophthalmol. 2005 May;139(5):860-6. doi: 10.1016/j.ajo.2005.01.001.
8
SUPRACHOROIDAL TRIAMCINOLONE ACETONIDE FOR REFRACTORY POSTOPERATIVE CYSTOID MACULAR EDEMA.
Retina. 2024 Aug 1;44(8):1379-1386. doi: 10.1097/IAE.0000000000004132.
9
A manually made needle for treating Pseudophakic cystoid macular edema by injecting triamcinolone acetonide in the suprachoroidal space: A case report.
Am J Ophthalmol Case Rep. 2021 Dec 31;25:101254. doi: 10.1016/j.ajoc.2021.101254. eCollection 2022 Mar.
10
Intravitreal triamcinolone acetonide for persisting cystoid macular edema after penetrating keratoplasty.
Cornea. 2006 Feb;25(2):240-1. doi: 10.1097/01.ico.0000176614.73332.58.
引用本文的文献
1
Efficacy of combined topical nepafenac 0.3% with suprachoroidal injection of triamcinolone acetonide using a modified custom needle in pseudopkakic cystoid macular edema.
BMC Ophthalmol. 2025 Jul 3;25(1):350. doi: 10.1186/s12886-025-03972-6.
2
Effect of Suprachoroidal Triamcinolone Acetonide on Intraocular Pressure in Macular Edema: A Retrospective Study.
Cureus. 2025 Jan 11;17(1):e77282. doi: 10.7759/cureus.77282. eCollection 2025 Jan.
3
Suprachoroidal Triamcinolone Acetonide Injection to Treat Macular Edema: A Review.
J Vitreoretin Dis. 2024 Oct 17:24741264241275271. doi: 10.1177/24741264241275271.
4
Capsular vascularization: role of suprachoroidal triamcinolone and histopathology.
Rom J Ophthalmol. 2024 Jul-Sep;68(3):321-324. doi: 10.22336/rjo.2024.58.
5
Effectiveness of Suprachoroidal Injection of Triamcinolone Acetonide in Diabetic Macular Edema Following Pars Plana Vitrectomy Using a Modified Custom Microneedle.
Clin Ophthalmol. 2024 Jul 15;18:2049-2060. doi: 10.2147/OPTH.S472910. eCollection 2024.
6
Suprachoroidal Injection: A Novel Approach for Targeted Drug Delivery.
Pharmaceuticals (Basel). 2023 Sep 1;16(9):1241. doi: 10.3390/ph16091241.
7
Change in macular thickness after uncomplicated phacoemulsification surgery using optical coherence tomography in a tertiary care hospital.
Pak J Med Sci. 2023 Sep-Oct;39(5):1488-1491. doi: 10.12669/pjms.39.5.4775.
8
Posterior sub-Tenon triamcinolone injection in the treatment of postoperative cystoid macular edema secondary to pars plana vitrectomy.
Indian J Ophthalmol. 2023 Jan;71(1):174-179. doi: 10.4103/ijo.IJO_621_22.
9
Effectiveness of Suprachoroidal Injection of Triamcinolone Acetonide in Resistant Diabetic Macular Edema Using a Modified Microneedle.
Clin Ophthalmol. 2022 Nov 21;16:3821-3831. doi: 10.2147/OPTH.S391319. eCollection 2022.
本文引用的文献
1
Suprachoroidal Triamcinolone Acetonide for Diabetic Macular Edema: The HULK Trial.
Ophthalmol Retina. 2018 Aug;2(8):874-877. doi: 10.1016/j.oret.2018.03.008. Epub 2018 May 4.
2
Suprachoroidal Triamcinolone Acetonide for Retinal Vein Occlusion: Results of the Tanzanite Study.
Ophthalmol Retina. 2018 Apr;2(4):320-328. doi: 10.1016/j.oret.2017.07.013. Epub 2017 Sep 29.
3
Cystoid macular oedema following cataract surgery: A review.
Clin Exp Ophthalmol. 2019 Apr;47(3):346-356. doi: 10.1111/ceo.13513.
4
SUPRACHOROIDAL INJECTION OF TRIAMCINOLONE ACETONIDE, CLS-TA, FOR MACULAR EDEMA DUE TO NONINFECTIOUS UVEITIS: A Randomized, Phase 2 Study (DOGWOOD).
Retina. 2019 Oct;39(10):1880-1888. doi: 10.1097/IAE.0000000000002279.
5
Cataract surgery and nonsteroidal antiinflammatory drugs.
J Cataract Refract Surg. 2016 Sep;42(9):1368-1379. doi: 10.1016/j.jcrs.2016.06.006.
6
Treatment costs of cystoid macular edema among patients following cataract surgery.
Clin Ophthalmol. 2016 Mar 16;10:477-83. doi: 10.2147/OPTH.S98892. eCollection 2016.
7
Safety and pharmacodynamics of suprachoroidal injection of triamcinolone acetonide as a controlled ocular drug release model.
J Control Release. 2015 Apr 10;203:109-17. doi: 10.1016/j.jconrel.2015.02.021. Epub 2015 Feb 17.
8
Treatment of acute posterior uveitis in a porcine model by injection of triamcinolone acetonide into the suprachoroidal space using microneedles.
Invest Ophthalmol Vis Sci. 2013 Apr 3;54(4):2483-92. doi: 10.1167/iovs.13-11747.
Zotero 插件