Treatment of bilateral Irvine-Gass syndrome with suprachoroidal triamcinolone injection.
Fatima Zahra, Sara Rashid, Marium Anis et al.
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Case in brief
A woman in her 60s developed bilateral cystoid macular oedema (CME) following sequential cataract surgeries, resulting in a decline in visual acuity. Diagnosed with bilateral Irvine-Gass syndrome, she initially received topical steroids and NSAIDs without improvement. A single dose of suprachoroidal triamcinolone acetonide injections led to rapid resolution of CME and restoration of visual acuity to 6/6 in both eyes, maintained for 8 months.
Diagnostic / clinical pearl
Clinicians should consider suprachoroidal triamcinolone acetonide injections as a treatment option for Irvine-Gass syndrome in cases unresponsive to conventional topical therapies.