Retinal break following an intravitreal triamcinolone acetonide injection

Purpose: To report a case of an unusual localization of retinal break following intravitreal triamcinolone acetonide (IVTA) injection. Subjects and methods: A 58-year-old male patient was admitted to our department for visual loss lasting more than 6 months. The patient was diagnosed as having proliferative diabetic retinopathy and diffuse macular edema. Therapy in the form of IVTA injection was given. Results: During the first follow-up examination, 1 week after the IVTA injection, a retinal break with an attached flap on the nasal retinal area was observed. The retinal break was covered with laser photocoagulation. Conclusion: Although a rare possibility, a careful retinal examination during the follow-up period after IVTA injection may prevent retinal detachment. © Springer Science+Business Media, Inc. 2007.