What are Treatment Options for Macular Edema?

November 10, 2010

1.  What are pros and cons of Kenalog vs. preservative-free intravitreal triamcinolone?

2.  How many repeated injections of steroids are safe?

3.  What are other options for Macular edema when Avastin and Steroids tend to become ineffective after a few months?




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3 Responses to “What are Treatment Options for Macular Edema?”

  • ari

    systemic cortisone certainly bad idea- cant possibly be better than injecting into the eye. i would consider avastin injection instead or in combination. is the implant poorly situated?- that can cause persistent macular edema and may need to be excahnged. is there a membrane causing the wrinkling? that may also need to be peeled to make the edema go away

  • david fagelson m.d.

    have had multiple surgeries to correct a cataract surgery that went bad…last procedure was the DESK for corneal problem which seems to have worked, however still have macular edema and wrinkle. have had cortisone injections in the past but question now is this….with having had six operations on the eye and persistence of macular problem….should more cortisone be tried, or how about systemic cortisone?

  • ari weitzner

    preservative-free may be slightly less irritating to the eye, but i think many still inject the regular kind, as the irritation is pretty rare. but given a choice, i think most of us prefer the preservative-free. otherwise they are identical.

    one can have unlimited injections unless side effects stop it, like glaucoma or infection.

    if steroid, avastin and lucentis do not help, one can consider radiation (this is pretty new) or older technology like photodynamic therapy, or perhaps steroid implants like ozurdex.