Marashi Ameen, Zazo Aya
Retina Specialist at Marashi Eye Clinic, Aleppo, Syria.
Aleppo Medical University, Aleppo, Syria.
Am J Ophthalmol Case Rep. 2021 Dec 31;25:101254. doi: 10.1016/j.ajoc.2021.101254. eCollection 2022 Mar.
This case was conducted to report the effectiveness and security of a manually made needle to inject triamcinolone acetonide in the suprachoroidal space (SCS) in a 52-year-old female with pseudophakic cystoid macular edema (PCME) in the challenging socio-economical situations in Syria.
This case report is an interventional case of a 52-year-old female presented with a four-week history of reduced vision secondary to Pseudophakic cystoid macular edema (PCME). The patient attended Marashi Eye Clinic Center for a clinical examination and followed up with Optical Coherence Tomography (OCT) at baseline. The patient was treated by one injection of triamcinolone acetonide and followed up within one week, 4 weeks, 8 weeks, 16 weeks, and 24 weeks in the suprachoroidal space (SCS) using a manually made needle with assessing the efficacy and potential ocular complications.
The best-corrected visual acuity (BCVA) had improved significantly from baseline 20/60 to 20/30 at 24 weeks with a complete anatomical resolution of macular edema at 24 weeks from baseline. No ocular complications were noticed during the study period.
Injecting triamcinolone acetonide in suprachoroidal space (SCS) using a manually made needle plays an essential role in treating Pseudophakic cystoid macular edema (PCME) without compromising security and efficiency.
本病例旨在报告在叙利亚具有挑战性的社会经济状况下，使用自制针头在一名52岁人工晶状体眼黄斑囊样水肿（PCME）女性患者的脉络膜上腔（SCS）注射曲安奈德的有效性和安全性。
本病例报告是一例52岁女性的介入性病例，该患者因人工晶状体眼黄斑囊样水肿（PCME）出现视力下降四周。患者前往马拉希眼科诊所中心进行临床检查，并在基线时接受光学相干断层扫描（OCT）检查。患者接受了一次曲安奈德注射治疗，并在一周、4周、8周、16周和24周时使用自制针头在脉络膜上腔（SCS）进行随访，评估疗效和潜在的眼部并发症。
最佳矫正视力（BCVA）从基线时的20/60显著提高到24周时的20/30，黄斑水肿在24周时从基线开始完全解剖学消退。在研究期间未发现眼部并发症。
使用自制针头在脉络膜上腔（SCS）注射曲安奈德在治疗人工晶状体眼黄斑囊样水肿（PCME）方面发挥着重要作用，且不影响安全性和有效性。
