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SURGICAL TECHNIQUE
Year : 2021  |  Volume : 69  |  Issue : 3  |  Page : 765-767

Modified inexpensive needle for suprachoroidal triamcinolone acetonide injections in pseudophakic cystoid macular edema


Post Graduate Department of Ophthalmology, INHS Asvini, Colaba Mumbai, Maharashtra, India

Correspondence Address:
Dr. Avadhesh Oli
Post Graduate Department of Ophthalmology, Institute of Naval Medicine, Indian Naval Hospital Ship Asvini, Near RC Church Colaba, Mumbai - 400 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1464_20

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Pseudophakic cystoid macular edema (PCME) is one of the leading causes of reduced vision, after cataract surgery. Topical steroids and nonsteroidal anti-inflammatory drops are frequently used in the management; however, intravitreal injections may be required for chronic cases. Suprachoroidal injection of preservative free Triamcinolone acetonide is a recent addition to the therapeutic armamentarium of ophthalmologists for treatment of cystoid macular edema of varied etiology. Though the drug is commercially available at a reasonable cost, the microneedle is not commonly available. We modified a 26 G needle for safe and cost-effective delivery of preservative-free suprachoroidal triamcinolone acetonide (SCT). In the current series of three patients with non-resolving PCME, macular edema resolved and vision improved over 3 months.


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