Spontaneous resolution of serous retinal detachment secondary to accidental subretinal triamcinolone acetonide injection following orbital floor injection.

PURPOSE: To report a case of a female patient in her 90s who presented with an inferotemporal serous retinal detachment after accidental subretinal triamcinolone acetonide (TCA) injection following orbital floor injection for cystoid macular oedema.

METHODS

Observational case report.

RESULTS

There was an acute intraocular pressure elevation immediately following the injection that resolved with medical management. TCA has been reported to potentially be toxic to the outer retinal layers. However, the retinal detachment gradually resolved without intervention with resolution of the cystoid macular oedema and improvement in visual acuity.

CONCLUSIONS

Conservative management may be an option following a careful detailed assessment in selected cases of accidental subretinal TCA injection.