Background: Development of posterior subcapsular cataracts following systemic corticosteroids is well described but not after intralesional extraocular corticosteroid injection. We report a case of bilateral posterior subcapsular cataract in a patient with a sternal keloid treated with multiple doses of intralesional triamcinolone acetonide injection.
Case: A 35-year-old male patient developed blurring of vision in both eyes one year after treatment with multiple injections of intralesional triamcinolone acetonide for sternal keloid disorder. He was diagnosed with bilateral posterior subcapsular cataracts, with best corrected visual acuity of 6/18 in both eyes.
Conclusion: Posterior subcapsular cataracts are well known to occur after systemic corticosteroids, but they may develop after intralesional corticosteroid treatment as well.