Dr. Aditi Singh, S16943, Dr. Meena Gopinath Menon
To present the treatment option for intractable steroid induced ocular hypertension following posterior subtenons triamcinolone acetonide injection .We report a case of a twelve year old girl who was diagnosed with parsplanitis in both eyes. As the inflammation could not be controlled with topical and oral steroids , she was given posterior subtenons triamcinolone acetonide injection .
This led to rise in intraocular pressure (IOP) in both eyes . Fundus examination revealed normal optic nerve head in both eyes. The IOP in LE remained normal with anti glaucoma drugs , however in RE it could not be brought under control even with maximum topical and oral anti glaucoma medications. Thus PST implant in the RE was removed 4 months after its injection.
The anti glaucoma medications were continued for 3 more months. IOP in RE came under control a month later .Surgicalal excision of PST should be considered as primary treatment in cases where IOP is not controlled despite maximum medical therapy.