EFFICACY OF SUPRACHOROIDAL TRIAMCINOLONE ACETONIDE INJECTION IN THE TREATMENT OF RESISTANT DIABETIC MACULAR EDEMA

Authors

  • SS BUTT Department of ophthalmology, Mughal Eye Hospital Trust Lahore, Pakistan
  • RN IQBAL Department of ophthalmology, Eye Unit 1, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan
  • S SIDDIQ Department of ophthalmology, Eye Unit 1, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan
  • K WAHEED Department of ophthalmology, Eye Unit 1, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan
  • T JAVED Department of ophthalmology, PICS, Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.202

Keywords:

Suprachoroidal Injection, Triamcinolone Acetonide, Resistant Diabetic Macular Edema

Abstract

This study aimed to assess the efficacy of suprachoroidal TA injection for treating diabetic macular edema resistant to anti-VEGF agents. A prospective study was conducted in Ophthalmology Department Service Hospital, Lahore, from December 2020 to December 2021. A total of 60 patients were included in the study. Suprachoroidal TA injection 4 mg/0.1 mL was given after diagnosing resistant DME. The injection was administered every 3 months during the follow-up period (12 months) if intraretinal cysts, intraretinal or subretinal fluid persisted and CMT remained > 250 µm. The primary endpoint was CMT reduction and BCVA improvement after 12 months of injection. The secondary endpoint was assessing the safety of TA injection. The mean CMT at baseline was 478.6±170.1 µm, and after 12 months, it was 230.1 ± 47.5 µm. This decrease was statistically significant (P< .001). The mean BCVA at baseline was 1.194±0.1; after 12 months, it was 0.75±0.2 (P<.001). After one month of injection, IOP reached the maximum value (13.2±0.4 mmHg) compared to the baseline (12.32±0.1mmHg). It gradually declined with the use of topical beta blockers and reached baseline value at 3rd month, and glaucoma surgery was not needed in any patient. Suprachoroidal TA injection effectively treats resistant DMA and leads to SCVA improvement and CMT reduction.

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Published

2023-02-13

How to Cite

BUTT, S., IQBAL, R., SIDDIQ, S., WAHEED, K., & JAVED, T. (2023). EFFICACY OF SUPRACHOROIDAL TRIAMCINOLONE ACETONIDE INJECTION IN THE TREATMENT OF RESISTANT DIABETIC MACULAR EDEMA. Biological and Clinical Sciences Research Journal, 2023(1), 202. https://doi.org/10.54112/bcsrj.v2023i1.202