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  Vol. 121 No. 5, May 2003 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Secondary Chronic Open-Angle Glaucoma After Intravitreal Triamcinolone Acetonide

Arch Ophthalmol. 2003;121:729-730.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Intravitreal injections of triamcinolone acetonide have increasingly been used for treatment of various intraocular neovascular, proliferative, or edematous diseases, such as diffuse diabetic macular edema, proliferative diabetic retinopathy, proliferative vitreoretinopathy, chronic uveitis, and persistent pseudophakic cystoid macular edema.1-6 In view of the widening spectrum of therapeutic indications of intravitreal triamcinolone acetonide, we report the clinical course of a patient who repeatedly received intravitreal injections of triamcinolone acetonide 14 months apart, who showed intravitreal triamcinolone acetonide crystals still present 9 months after the second injection, and who developed secondary open-angle glaucoma uncontrollable by topical antiglaucomatous medication.

Report of a Case

A 79-year-old woman sought treatment for progressive exudative age-related macular degeneration with subfoveal occult neovascularization in her left eye. Snellen chart visual acuity decreased from 0.80 to 0.50 OS with the accompanying complaint of marked metamorphopsia. Intraocular pressure measured 16 mm Hg, and the appearance of the optic nerve head was normal. The right eye . . . [Full Text of this Article]


Comment
Corresponding author: Jost B.Jonas, MD, Universitäts-Augenklinik, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany (e-mail: jost.jonas@ma.augen.uni-heidelberg.de).



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