COMPARISON OF FOCAL LASER WITH INTRAVITREAL TRIAMCINOLONE INJECTION AS TREATMENT FOR MACULAR OEDEMA FOLLOWING BRANCH RETINAL VEIN OCCLUSION

Abstract

Background: Branch Retinal Vein Occlusion is a sight threatening disease in which Macular edema is the most important cause of central visual loss. Grid laser photocoagulation was the only treatment for macular oedema. Nowadays, intravitreal injection of vascular endothelial growth factors inhibitors and triamcinolone acetonide can play a role in management of BRVO. To study the visual acuity after focal laser and Objective: intravitreal triamcinolone injection and to compare the visual outcome of focal laser with intravitreal triamcinolone injection. 30 eyes Methods: were taken up for study. Based on the FFA ndings, the area with capillary non perfusion were excluded from the treatment. Only 24 cases were included in the treatment with focal laser and IVTA. The study groups were di Result: vided into Group 1 (underwent focal laser) and Group 2 (underwent Triamcinolone injection). The p-value was >0.5 and there was no signicant difference in the visual outcome among the 2 groups. Conclusion: The therapeutics effects of Triamcinolone showed no signicant difference compared with focal laser with regard to visual outcomes but seemed to cause more adverse events. Therefore, further large randomized trials with longer follow up are needed to compare the long term safety and efcacy of these treatments provide sustainable concrete.