Intravitreal Kenalog Injection
Kenalog is an injectable steroid often used around the eye for inflammatory conditions. Over the past few years several
case reports have shown some benefit to placing Kenalog inside the eye (intravitreal) for different conditions. These small
studies have found some benefit in using intravitreal Kenalog for non-remitting Diabetic Macular edema, Cystoid Macular Edema,
Branch Retinal Vein Occlusion, Central Retinal Vein Occlusion, and Wet AMD. Although difficult to draw definite conclusions from
these studies, in some cases the retina specialist may offer intravitreal kenalog as the sole or adjuvanct therapy.
The procedure is performed in-office under local anesthesia. The patient needs to be aware of the risks which include infection,
retinal detachment, loss of vision, high eye pressure, bleeding, and need for further operations. Larger studies are required to
illucidate the best candidates for this novel use of an established drug.
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