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Suggest Treatment For Pain In Eye After Taking Triamcinolone Injection

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Posted on Mon, 23 Mar 2015
Question: Last week, my day had a severe pain on his left eye. When the pain got worse, he went to the hospital and got a medicine. They gave him some sort of topical anti-inflammatory (prod forte) and a lubricant eye drops. The medicine didn’t work at all and his left eye turned really red and he said that he can barely see. The doctor then gave him two Intravitreal Steroid (Triamcinolone) Injections and told him that he may have a acute iritis. My dad lives overseas so I don’t really trust the doctor’s treatment over there. He’s 65 years old and a diabetic patient
My question is what could be the reason behind his severe unbearable eye pain. And should he continue with the injection because after he took it his pain got way worse and he can’t see at all with it.

doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
List of possibilities listed; yes, I think he should continue the steroids

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. In my opinion there could be 2-3 possibilities for his presentation, they are:

+Acute iritis as stated by his doctor. This usually occurs due to infections, trauma, etc.

+Glaucoma: Sudden appearance of pain is a serious sign when it comes to glaucoma and has to be reported immediately. You could request your father to ask his doctor to check his intra-ocular pressure (IOP)

+Diabetic retinopathy: A complication of poorly controlled blood glucose levels. We should strongly suspect this after checking his HbA1c levels (if elevated, then retinopathy could be the cause)

Triamcinolone is a steroid specially used for the eyes, and helps greatly to help inflammation and irritation, I would suggest he continues the use of the steroid for now. But at the sometime go ahead with the initiation of antibiotic and antiviral medications as well, in order to tackle all aspects of this.

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Pain In Eye After Taking Triamcinolone Injection

Brief Answer: List of possibilities listed; yes, I think he should continue the steroids Detailed Answer: Hello and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. In my opinion there could be 2-3 possibilities for his presentation, they are: +Acute iritis as stated by his doctor. This usually occurs due to infections, trauma, etc. +Glaucoma: Sudden appearance of pain is a serious sign when it comes to glaucoma and has to be reported immediately. You could request your father to ask his doctor to check his intra-ocular pressure (IOP) +Diabetic retinopathy: A complication of poorly controlled blood glucose levels. We should strongly suspect this after checking his HbA1c levels (if elevated, then retinopathy could be the cause) Triamcinolone is a steroid specially used for the eyes, and helps greatly to help inflammation and irritation, I would suggest he continues the use of the steroid for now. But at the sometime go ahead with the initiation of antibiotic and antiviral medications as well, in order to tackle all aspects of this. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.