A 63 year-old woman with
poorly controlled diabetes mellitus presented with two-year history of
progressive worsening left vision. Fundoscopy
revealed hard exudates in the fovea and clinically significant macular oedema. Despite repeated focal laser, the oedema failed to resolve and the vision was hand
movement. After discussing with the patient, she agreed to intravitreal triamcelone. A 0.1
ml(4mg) dose was given via the inferior approach to avoid significant
clouding the vision from the triamcelone crystals.
There was a significant reduction of macular oedema
within 48 hours but the vision was reduced by the triamcelone
At the last clinical
visit, the macular oedema resolved but the vision remained poor most likely
due to the presence of hard exudates in the fovea.
Severe diabetic maculopathy.
An inferior cloud of triamcelone crystals 24 hours post-intravitreal