Sameer Shahid Amin, Hussnain Abbas, Amjad Akram.
Diabetic macular oedema and role of intra viteral Triamcinolone acetonide.
Pak Armed Forces Med J Jan ;57(3):211-5.

Aims: The aim of this study was to determine efficiency of intravitreal injection of triamcinolone (IVT) in diffuse macular edema secondary to diabetes mellitus. Methods: Twenty eight eyes of 28 patients who fulfilled the inclusion criteria were selected for the study. Patients had a full ophthalmic examination carried out. Injection triamcinolone acetonide (Kenalog) was given intravitreally with full aseptic measures patients were followed up at selected intervals of time. Results: At one month post injection interval 54% patients showed improvement in visual acuity. Three months post injection 43% patients maintained improvement in visual acuity. At six months post injections 18% maintained improvement while 43% showed no change and 14% showed deterioration of vision. Conclusion: We conclude that IVT has a favorable outcome in significant number of patients and may be an alternative to laser photocoagulation in diffuse macular edema secondary to diabetes mellitus.

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