Intravitreal Corticosteroids

Intravitreal injection of dexamethasone is commonly performed in treatment of severe intraocular inflammation related to bacterial en-dophthalmitis, although its usefulness has been debated [13]. Use in PPV in uveitis has been limited. Expanding indications for intravitreal triamcinolone acetonide in the treatment of CME suggest that it may be useful both to reduce postoperative inflammation in uveitis and to treat residual CME after medical therapy. In-travitreal triamcinolone acetonide has been suggested as an adjunct to vitreoretinal surgery in which it is used to define tissue planes for easy removal [14] and may have applicability for PPV for uveitis as well [15].

Although randomized studies are still lacking, clinical experience indicates that macular oedema usually resolves, often with dramatic improvements in vision, within 4-6 weeks of injection. Cataract development and pressure elevations, which usually respond to medical therapy, may occur. Finally, injection of the commercial preparation has been associated with a sterile endophthalmitis, which could markedly confuse the postoperative picture. Although intravitreal triamcinolone appears to be capable of providing rapid improvement in vision, its use should be limited to selected cases until more is known about its effect in uveitis patients undergoing PPV.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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