Abstract

To report our experience with intravitreal triamcinolone acetonide treatment of serous macular detachment in a patient with active systemic lupus erythematosus (SLE). Interventional case report. A 38-year-old man who had SLE with bilateral serous macular detachment and retinopathy was treated with a single intravitreal injection of triamcinolone acetonide in one eye and two intravenous injections of a megadose steroid. Serous detachment in the eye injected with intravitreal steroid showed more significant improvement than that in the fellow eye. Our case suggests that intravitreal triamcinolone acetonide injection may be considered for treatment of SLE-related serous macular detachment that does not respond to systemic steroid therapy.

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