Treating macular edema secondary to retinal vein occlusion with suprachoroidal injection of triamcinolone acetonide using custom made needle

Treatment of cystoid macular edema secondary to retinal vein occlusion used to be laser1 then intravitreal triamcinolone was used for the treatment2 today monthly intravitreal vascular endothelial growth factor blockage agents are used as first line therapy, as they showed efficacy and safety,3 however there are intravitreal steroids (dexamethasone or fluocinolone) in a form of implants (slow release devices) has shown durability and efficacy4 especially in cases where intravitreal VEGF blockage agents are contraindicated or nonresponsive mainly in cases where inflammatory cascade is the main pathological element.