Pseudohypopyon immediately after intravitreal injection of triamcinolone acetonide: case reports

Arquivos Brasileiros de Oftalmologia

Vânia Ewert De Campos²  André Maia¹  Cristina Muccioli¹  Rubens Belfort Jr.¹ 

[1] ,Universidade Federal de São Paulo Departamento de Oftalmologia Setor de Uveítes e AIDSSão Paulo SP

关键词: Uveitis;    Eye diseses;    Eye diseases;    Triamcinolone;    Triamcinolone;    Adrenal cortex hormones;    Injections;    Differential diagnosis;    Case report;    Uveíte;    Oftalmopatias;    Oftalmopatias;    Triancinolona;    Triancinolona;    Corticosteróides;    Injeções;    Diagnóstico diferencial;    Relatos de casos;   

DOI  :  10.1590/S0004-27492005000200018

来源: SciELO

【 摘 要 】

Report on the development of pseudohypopyon immediately after intravitreal injection of triamcinolone acetonide (TAAC). Two phakic patients presenting with a transient pseudohypopyon after having been treated with intravitreal triamcinolone. One had a clinically significant macular edema with cystoid component (CSME with CMS) and the other, active Vogt-Koyanagi-Harada (VKH) with serous retinal detachment of the macula. One eye from each patient developed a pseudohypopyon with crystal deposits adherent to the corneal endothelium. In one case it appeared right after the injection and disappeared spontaneously in 24 hours. In the other patient it appeared on day 3 and disappeared also spontaneously within 2 days. The pseudohypopyon is an important sign that can be observed after intravitreal injection of TAAC, in phakic patients, with spontaneous resolution and without complication. The pseudohypopyon caused by the deposition of TAAC in the anterior chamber immediately after its injection into the vitreous should be differentiated from other forms of hypopyon associated with this type of treatment.

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