Traumatic chorioretinal folds treated with intra-vitreal triamcinolone injection

• Main Authors: Kook Young Kim, Hyung-Woo Kwak, Moosang Kim, Seung-Young Yu
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Ampiginous choroiditis; fluorescein angiography/fluorescein angiogram; indocyanine green angiogram; multifocal choroiditis; posterior uveitis; serpiginous choroiditis; Branch retinal vein occlusion; mean platelet volume; platelet activation; retinal vein occlusion; Fibrin glue; glued intrascleral fixation; glued intraocular lens forceps; three-piece foldable intraocular lens; Hydroxychloroquine; optical coherence tomography; retinal toxicity; retinal thickness; Central serous chorioretinopathy; metamorphopsia; Retinal hemorrhages; altitude retinopathy; Central retinal artery occlusion; Churg-Strauss syndrome; steroid pulse therapy; Chorioretinal folds; intra-vitreal triamcinolone injection; spectral domain-optical coherence tomography
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=4;spage=179;epage=182;aulast=Kim

A 34-year-old male visited the hospital due to decreased visual acuity in the left eye following an injury from a car accident. In the left eye, best-corrected visual acuity (BCVA) was hand motion and intraocular pressure (IOP) was 8 mmHg. Choroidal vasodilation and chorioretinal folds were observed by spectral domain-optical coherence tomography (SD-OCT). Topical and systemic steroid treatments did not improve the chorioretinal folds. Twelve months after the injury, intra-vitreal triamcinolone (4 mg/0.1 ml) was injected. Six months after intra-vitreal triamcinolone injection, BCVA in the left eye had improved to 20/100. Fundus examination showed improvement in retinal vascular tortuosity and SD-OCT revealed improvements in choroidal vasodilation and chorioretinal folds. Intra-vitreal triamcinolone injection (IVTI) was effective against traumatic chorioretinal folds with no recurrence based on objective observation by fundus photography and SD-OCT.