Медицинская библиотека · Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2008

Intravitreal triamcinolone for macular edema in Lyme disease.

Reibaldi Michele, Faro Salvatore, Motta Lorenzo, Longo Antonio

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Аннотация

BACKGROUND

To describe the outcome in a patient with macular edema caused by Lyme disease treated with injection of 4 mg intravitreal triamcinolone.

METHODS

The patient, 2 years after systemic Lyme disease treated with doxycycline for 4 weeks, developed macular edema with serous retinal detachment in one eye (visual acuity: 0.6). After unsuccessful therapy with intravenous ceftriaxone, indomethacin and acetazolamide, 4 mg intravitreal triamcinolone (IVTA) was injected via the pars plana.

RESULTS

Visual acuity improved to 1.0 and macular thickness recovered over 1 month. No changes were found in intraocular pressure. No recurrence of macular edema was seen after 2 years.

CONCLUSIONS

IVTA can restore visual acuity and reduce macular thickness in macular edema caused by Lyme disease. However, since borreliosis is a systemic disease, previous systemic antibiotic treatment is recommended.

Для цитирования: Reibaldi Michele, Faro Salvatore, Motta Lorenzo, Longo Antonio. Intravitreal triamcinolone for macular edema in Lyme disease.. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2008. DOI: 10.1007/s00417-007-0740-0.

Предметные рубрики MeSH

Adult Anti-Bacterial Agents Doxycycline Female Fluorescein Angiography Glucocorticoids Humans Injections Lyme Disease Macular Edema Tomography, Optical Coherence Triamcinolone Acetonide Visual Acuity Vitreous Body

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