Traumatic chorioretinal folds treated with intra-vitreal triamcinolone injection

Abstract

A 34-year-old male visited the hospital due to decreased visual acuity in the left eye following an injury from a car accident. In the left eye, best-corrected visual acuity (BCVA) was hand motion and intraocular pressure (IOP) was 8 mmHg. Choroidal vasodilation and chorioretinal folds were observed by spectral domain-optical coherence tomography (SD-OCT). Topical and systemic steroid treatments did not improve the chorioretinal folds. Twelve months after the injury, intra-vitreal triamcinolone (4 mg/0.1 ml) was injected. Six months after intra-vitreal triamcinolone injection, BCVA in the left eye had improved to 20/100. Fundus examination showed improvement in retinal vascular tortuosity and SD-OCT revealed improvements in choroidal vasodilation and chorioretinal folds. Intra-vitreal triamcinolone injection (IVTI) was effective against traumatic chorioretinal folds with no recurrence based on objective observation by fundus photography and SD-OCT.

Keywords

• Ampiginous choroiditis
• fluorescein angiography/fluorescein angiogram
• indocyanine green angiogram
• multifocal choroiditis
• posterior uveitis
• serpiginous choroiditis
• Branch retinal vein occlusion
• mean platelet volume
• platelet activation
• retinal vein occlusion
• Fibrin glue
• glued intrascleral fixation
• glued intraocular lens forceps
• three-piece foldable intraocular lens
• Hydroxychloroquine
• optical coherence tomography
• retinal toxicity
• retinal thickness
• Central serous chorioretinopathy
• metamorphopsia
• optical coherence tomography
• Retinal hemorrhages
• altitude retinopathy
• Central retinal artery occlusion
• Churg-Strauss syndrome
• steroid pulse therapy
• Chorioretinal folds
• intra-vitreal triamcinolone injection
• spectral domain-optical coherence tomography