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Purpose: To report a case of polypoidal choroidal vasculopathy (PCV) that was successfully treated by sub-Tenon s infusion of triamcinolone acetonide (TA).Methods: A 56-year old Japanese man had PCV in his left eye with vision of 20/32. Fluorescein angiography demonstrated a hyperfluorescent spot, and indocyanine green angiography showed marked leakage of dye from the polypoidal vessel. Optical coherence tomography showed anterior protrusion of highly reflective layers and subretinal fluid. Results: The patient underwent trans-Tenon s retrobulbar infusion of 12 mg TA. Subsequently, the reddishorange lesion decreased in size and elevation with complete resolution of the serous retinal detachment, and visual acuity improved to 20/20. Visual acuity remained good through a 15-month follow-up during which the patient was free of endophthalmitis and elevated intraocular pressure. Conclusions: Trans-Tenon s retrobulbar TA infusion is potentially effective in treating PCV.
Purpose: To report a case of polypoidal choroidal vasculopathy (PCV) that was successfully treated by sub-Tenon’s infusion of triamcinolone acetonide (TA). Methods: A 56-year old Japanese man had PCV in his left eye with vision of 20 / 32. Fluorescein angiography demonstrated a hyperfluorescent spot, and indocyanine green angiography showed marked leakage of dye from the polypoidal vessel. Optical coherence tomography showed anterior protrusion of highly reflective layers and subretinal fluid. Results: The patient underwent trans-Tenon’s retrobulbar infusion of 12 mg TA. The reddishorange lesion decreased in size and elevation with complete resolution of the serous retinal detachment, and visual acuity improved to 20/20. Visual acuity remained good through a 15-month follow-up during which the the patient was free of endophthalmitis and elevated intraocular pressure. Conclusions: Trans-Tenon’s retrobulbar TA infusion is potentially effective in treating PCV.