International Medical Case Reports Journal (Jan 2021)
Sub-Tenon Injection of Triamcinolone Acetonide for Choroidal Mass in Sarcoidosis: A Case Report
Abstract
Mihori Kita,1 Yu Kagitani,1 Sachiyo Hama,1 Atsushi Azumi2 1Department of Ophthalmology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan; 2Department of Ophthalmology, Kobe Kaisei Hospital, Kobe, JapanCorrespondence: Mihori KitaDepartment of Ophthalmology, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto-city, Kyoto 612-8555, JapanTel +81-75-641-9161Fax +81-75-643-4325Email [email protected]: To report the clinical course of a sub-tenon injection of triamcinolone acetonide for treatment of an asymptomatic choroidal mass in sarcoidosis.Methods: This was a retrospective, non-comparative interventional case study.Results: A 36-year-old Japanese man with sarcoidosis presented with an asymptomatic choroidal mass lesion associated with subretinal fluid accumulation in his left eye, but without any other sign of intraocular inflammation in either of his eyes. He had started systemic steroid administration for thrombocytopenia 2 days prior to being examined. After a single sub-tenon injection of triamcinolone acetonide (20 mg) the subretinal fluid was completely absorbed and the choroidal granuloma began to shrink in size. After the injection, the granuloma became a scar without any complication or recurrence over the next 34 months.Conclusion: Sub-tenon injection of triamcinolone acetonide might be an effective treatment for choroidal granuloma in sarcoidosis.Keywords: sarcoidosis, choroidal mass, choroidal granuloma, sub-tenon injection, triamcinolone acetonide, steroid
