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Suprachoroidal triamcinolone injection in nodular posterior scleritis: a case report

Ploysai Rujkorakarn, MD

Presenter:

Ploysai Rujkorakarn, Avery Zhou, Fatima Babiker, Peter Y Chang

Authors:

Affiliation:

1-4: Massachusetts Eye Research and Surgery Institution, 1440 Main St #201, Waltham, MA 02451

1-4: The Ocular Immunology and Uveitis Foundation, 1440 Main St #201, Waltham, MA 02451

Purpose: To report the first case of suprachoroidal triamcinolone injection used in treating nodular posterior scleritis.

Methods: Single-case, retrospective review of ophthalmological and systemic manifestations.

Results: A 67-year-old woman with nodular posterior scleritis diagnosed by spectral-domain optical coherence tomography scan had persistent pain, decreased vision, and redness in the left eye for the past 8 months. She had been prescribed topical prednisolone and prednisone with minimal improvement. She also had a history of rheumatoid arthritis treated with etanercept. She was given an injection of suprachoroidal triamcinolone in the left eye. Pain, visual acuity, and inflammation improved at the 11-day follow-up and 5-week follow-up.

Conclusions: Suprachoroidal triamcinolone may be investigated as an adjunctive therapy in refractory cases of nodular posterior scleritis.

Attachments:

OCT OS showing the thickened choroid under the macula with small subfoveal hyper-reflective material and retinal pigment epithelium/Bruch’s membrane changes on initial presentation (A), at the 11-day follow-up (B), and at the 5-week follow-up (C) following SCS-TA.

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