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M. Roy Wilson, MD; Harold Reaves, MD
Los Angeles

Arch Ophthalmol. 1987;105(9):1166.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We read with interest the exchange of letters between Dr Ball¹ and Drs Giangiacomo and Dueker² concerning the effects of preoperative triamcinolone injections. Giangiacomo and Dueker² described a case of severe thinning of the conjunctiva over the drug site as reported to them orally by Marshall Cyrlin, MD. In our case of preoperative triamcinolone injection in a 44-year-old black man without previous eye surgery, the conjunctiva overlying the drug site had become completely melted, leaving behind a sharply demarcated bare area approximately 4x5 mm in size. The technique of triamcinolone injection was performed as described by Giangiacomo and Dueker²: 0.1 mL of 40 mg/mL triamcinolone acetonide injected using a long injection tract with a 30-gauge needle one week prior to surgery.

It should be noted that our patient would not have met the preoperative inclusion criteria as used by Giangiacomo and colleagues.³ . . . [Full Text PDF of this Article]

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