What are different periocular injections?

Periocular injections can be performed using different injection techniques: into the subconjunctival space, into the sub-Tenon’s space, into the orbital floor alongside the globe— usually inferiorly—via a transcutaneous or transconjunctival injection, or into the retrobulbar space.

What are the different types of cortisone injections?

Commonly used cortisone variants include Kenalog® (tramcinolone) Depo-Medrol® (methylprednisolone), and Celestone® (Betamethasone). People most commonly receive cortisone shots in joints including the hip, knee, shoulder, spine, hands and feet.

What are periocular steroids?

Periocular corticosteroids Periocular steroid injections are a well-established treatment for vitritis and CME, and they are commonly used in posterior or intermediate uveitis to avoid the side effects associated with systemic immunosuppression, particularly in unilateral disease.

What are common steroid injections?

They can be used to treat problems such as joint pain, arthritis, sciatica and inflammatory bowel disease. Steroid injections are only given by healthcare professionals. Common examples include hydrocortisone, triamcinolone and methylprednisolone.

What is Periocular route?

Periocular injection is an ocular route of drug administration. It is well-established route of treatment for severe uveitis and cystoid macular edema (CME) bu using corticosteroids. Subconjunctival injection is one of periocular routes of administration.

What is the difference between a steroid injection and a cortisone injection?

“Steroid” is short for corticosteroid, which is different from the hormone-related steroid compounds that some athletes use. You may hear them called cortisone injections, cortisone shots, steroid shots, or corticosteroid injections. Steroids ease inflammation and slow your immune system.

Is there different strengths of cortisone injections?

If you have arthritis, this type of treatment is only used when just a few joints are affected. Usually, no more than 3 joints are injected at a time. The dose of hydrocortisone depends on the size of the joint. It can vary between 5mg and 50mg of hydrocortisone.

What is a periocular infection?

Periocular Infections occur when there is inflammation of the conjunctiva. Uncomplicated viral infections can usually be managed with careful hand hygiene and lubrication of the eye with artificial tears.

How effective are periocular corticosteroid injections in uveitis?

Periocular corticosteroid injections in uveitis: effects and complications Periocular injections were effective in treating active intraocular inflammation and in improving reduced VA attributed to ME in a majority of patients. The response pattern was similar across anatomic locations of uveitis.

Are periocular corticosteroids associated with intraocular pressure and cataract?

Like other modes of corticosteroid delivery, periocular corticosteroids are linked with the development of elevated intraocular pressure (IOP) and cataract.

What are the injection sites for steroid injections in orbital floor?

Various injection sites can be used, including the subconjunctival and sub-Tenon’s spaces as well as the orbital floor, although posterior injection avoids the development of unsightly subconjunctival plaques resulting from anterior seepage of depot corticosteroid. Our practice is to use orbital floor methylprednisolone.

What are the possible complications of intraocular corticosteroid therapy for intramuscular injections (IVTA)?

Cataract is a common complication of IVTA and occurs in up to 45% of patients within a year of injection. 5 A prior history of corticosteroid response is often considered an absolute contraindication to intraocular corticosteroid therapy.