Dear Editor: Miyamoto et al show that intravitreal triamcinolone reduces macular edema as early as 1 hour after injection. They suggest that the time pattern demands that nongenomic mechanisms must be involved in the therapeutic effect of triamcinolone on retinal edema. Vasogenic edema in all tissues, including the retina, may be understood in terms of Starling’s law, by which the balance of hy...