Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report

Abstract Background Solar retinopathy is a disease that causes photochemical toxicity in the retinal fovea tissues, leading to an acute decrease of vision. Case presentation This case report is an interventional case of an asymptomatic 17-year-old Caucasian female with a history of suddenly decrease...

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Main Authors: Ameen Marashi, Marwa Baba, Aya Zazo
Format: Article
Language:English
Published: BMC 2021-12-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-021-03162-0
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author Ameen Marashi
Marwa Baba
Aya Zazo
author_facet Ameen Marashi
Marwa Baba
Aya Zazo
author_sort Ameen Marashi
collection DOAJ
description Abstract Background Solar retinopathy is a disease that causes photochemical toxicity in the retinal fovea tissues, leading to an acute decrease of vision. Case presentation This case report is an interventional case of an asymptomatic 17-year-old Caucasian female with a history of suddenly decreased vision due to solar retinopathy. The patient was managed with a custom-made needle injection of triamcinolone acetonide in the suprachoroidal space. Four months post suprachoroidal injection showed an anatomical and functional improvement in the ellipsoid zone layer through optical coherence tomography signal reappearance. In addition, the best-corrected visual acuity had improved from 0.1 to 1.0 on the Snellen chart with the disappearance of the scotoma. However, there was a mild increase in intraocular pressure after this procedure, controlled with topical hypertensive eye drops. Conclusion Suprachoroidal triamcinolone acetonide injection using a custom-made needle showed both functional and anatomical improvement of macular changes post-solar retinopathy, with acceptable safety outcomes in a young female.
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spelling doaj.art-72c99f8f6572485ebaaf778d6c95f14f2022-12-21T19:08:13ZengBMCJournal of Medical Case Reports1752-19472021-12-011511410.1186/s13256-021-03162-0Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case reportAmeen Marashi0Marwa Baba1Aya Zazo2Retina Specialist at Marashi Eye ClinicOphthalmic Resident at Aleppo Eye Surgical HospitalFaculty of Medicine, University of AleppoAbstract Background Solar retinopathy is a disease that causes photochemical toxicity in the retinal fovea tissues, leading to an acute decrease of vision. Case presentation This case report is an interventional case of an asymptomatic 17-year-old Caucasian female with a history of suddenly decreased vision due to solar retinopathy. The patient was managed with a custom-made needle injection of triamcinolone acetonide in the suprachoroidal space. Four months post suprachoroidal injection showed an anatomical and functional improvement in the ellipsoid zone layer through optical coherence tomography signal reappearance. In addition, the best-corrected visual acuity had improved from 0.1 to 1.0 on the Snellen chart with the disappearance of the scotoma. However, there was a mild increase in intraocular pressure after this procedure, controlled with topical hypertensive eye drops. Conclusion Suprachoroidal triamcinolone acetonide injection using a custom-made needle showed both functional and anatomical improvement of macular changes post-solar retinopathy, with acceptable safety outcomes in a young female.https://doi.org/10.1186/s13256-021-03162-0Solar retinopathySuprachoroidalInjectionTriamcinolone acetonideEfficacyVisual loss
spellingShingle Ameen Marashi
Marwa Baba
Aya Zazo
Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
Journal of Medical Case Reports
Solar retinopathy
Suprachoroidal
Injection
Triamcinolone acetonide
Efficacy
Visual loss
title Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
title_full Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
title_fullStr Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
title_full_unstemmed Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
title_short Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report
title_sort managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl a case report
topic Solar retinopathy
Suprachoroidal
Injection
Triamcinolone acetonide
Efficacy
Visual loss
url https://doi.org/10.1186/s13256-021-03162-0
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AT marwababa managingsolarretinopathywithsuprachoroidaltriamcinoloneacetonideinjectioninayounggirlacasereport
AT ayazazo managingsolarretinopathywithsuprachoroidaltriamcinoloneacetonideinjectioninayounggirlacasereport