Abstract

To evaluate pattern electroretinogram (pattern ERG) and anatomical changes in optical coherence tomography (OCT) in acute retinal vein occlusion with macular oedema after intravitreal triamcinolone acetonide (IVTA) injection. In this prospective interventional study, 20 patients with acute retinal vein occlusion (branch and central) of less than 1month duration were evaluated for pattern ERG, best-corrected visual acuity (BCVA), central macular thickness on OCT, and contrast sensitivity (CS) before and 1, 6 and 12weeks after 1mg IVTA injection. The amplitude of P50 wave (pattern ERG) improved from 3.01±1.22 to 3.56±1.29 µv, mean logMAR BCVA improved from 1.10±0.60 to 0.69±0.45, and CS improved from 0.45±0.41 to 0.79±0.29; mean central macular thickness (CMT) decreased from 515.35±202.83 to 358.35±135.4µ at 12weeks. All the values were statistically significant (p value<0.001). IVTA injection in acute retinal vein occlusion with macular oedema results in electrophysiological (pattern ERG) improvement in addition to anatomical (OCT) improvement.

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