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  • Title: A case of herpetic epithelial keratitis after triamcinolone acetonide subtenon injection.
    Author: Hashizume K, Nabeshima T, Fujiwara T, Machida S, Kurosaka D.
    Journal: Cornea; 2009 May; 28(4):463-4. PubMed ID: 19411969.
    Abstract:
    BACKGROUND: We report a case of herpes simplex virus (HSV) epithelial keratitis that developed after a subtenon triamcinolone acetonide (TA) injection. METHOD: A 78-year-old woman with a branch retinal vein occlusion and diffuse macular edema in her left eye received a subtenon injection of 20 mg of TA. RESULTS: Six days after the injection, the patient presented with a foreign body sensation, tearing, redness, and photophobia in the same eye. Slit-lamp examination revealed multiple corneal dendriform ulcers. She was diagnosed with HSV epithelial keratitis and treated with topical acyclovir ointment. The epithelial lesions healed after 1 week of therapy. CONCLUSION: HSV epithelial keratitis can be a possible complication of a TA subtenon injection.
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