Lauralyn Gordon, COA, Maine Eye Center, Portland, Maine.
This photograph was taken one day following pars plana vitrectomy with peeling of fibrosed posterior hyaloid and internal limiting membrane for diabetic cystoid macular edema. Kenalog was injected at the end of the surgery.
The Kenalog is sticking to residual membrane fibers at the optic disc and over the inferior and temporal areas of the macula. It also is adhering to the central macular area from which the ILM was peeled. The Kenalog does not stick to the retina with intact ILM without epiretinal membrane.
The cystoid macular edema resolved and the patient’s vision improved from 20/400 to 20/60 at four months postoperatively.
Blink is edited by Richard E. Hackel, MA, CRA, FOPS.