Pseudohypopyon in a phakic patient following intravitreal injection of triamcinolone acetonide. case report and review of literature

Abstract

Purpose: Intravitreal Triamcinolone Acetonide (IVTA) is one of the treatment options for Macular Edema (ME). This can cause several complications like transient elevation of intraocular pressure, cataract formation and endopthalmitis. We describe an atypical complication of IVTA. Case: A 60-year-old South Indian male presented with ME secondary to central retinal vein occlusion. We performed intravitreal injection of 4 mg of Triamcinolone acetonide (TA). However, the drug dispersed behind equatorial part of posterior lens capsule and also into the anterior chamber. Conclusion: Although IVTA is an easy and effective treatment for ME, TA may cause inadvertent complications when injected into the eye. Early recognition and appropriate management of such complications is essential.