https://doi.org/10.31288/oftalmolzh201354150

The efficacy of intravitreal steroid preparation injection before vitrectomy in patients with rhegmatogenous retinal detachment complicated by choroidal detachment

Abdulhadi Mohammad, Levitskaya GV, Kovalchuk AG

 SI «The Filatov Institute of Eye Diseases and Tissue Therapy NAMS of Ukraine», Odessa

E-mail: kid_od@mail.ru

Background. Choroidal detachment (CD) which develops as a complication of rhegmatogenous retinal detachment (RRD) is a bad prognostic factor for treatment. Preoperative systemic steroid therapy improves prognosis of treatment, but it has some major drawbacks. Therefore, the development of new methods of treatment is important.

Purpose. To study the efficacy of triamtcinolone acetonide (TA) intravitreal injection as preoperative preparation to patients with rhegmatogenous retinal detachment (RRD) complicated by choroidal detachment (CD).

Material and methods. Standard ophthalmology examination was performed in 31 patients with RRD complicated by the CD and intravitreal injection of 4 mg of TA was performed as a preoperative preparation prior to vitrectomy to remove the intraocular inflammation, ciliochoroidal detachment, hypotension. 

Results. In all patients, as a result of intravitreal TA ciliary pain, posterior synechiae, conjunctival injection were eliminated and positive IOP changes from 6.8 (1.5) to 11.2 (1.1) mm Hg were received. In 80.6 % (25/31) patients ciliochoroidal detachment was totally eliminated, in 19.4 % (6/31) cases choroidal detachment decreased in size and height, but its complete removal was not achieved. 

Conclusion. Risk factors for failure to reach full ciliochoroidal reattachment are ciliary pain presence, posterior synechiae in three or more quadrants, conjunctival injection and intense vitreous opacities.

Key words: rhegmatogenous retinal detachment, choroidal detachment, triamcinolone acetonide

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