Abstract
1/2010
vol. 112
Case report
Endophthalmitis following intravitreal triamcinolone acetonid injection – a case report
- Z Oddziału Klinicznego Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie
- Z Katedry i Kliniki Okulistyki Akademii Medycznej we Wrocławiu
Online publish date: 2010/03/21
Purpose: to report a case of acute endophthalmitis following intravitreal triamcinolone acetonide injection.
Material and methods: a 54-year-old woman with diabetic macular edema developed endophthalmitis after triamcinolone injection. First she was treated with intravitreal antibiotic injections and next with four surgeries – facovitrectomy, revitrectomy,
silicone oil removal and revitrectomy.
Results: the initial visual acuity was 0.5. From the vitreous cultured Staphylococcus epidermidis. Depite the intensive medical
intervention, the toxic retinal damage occurred and the final visual acuity was hand movement.
Conclusions: intravitreal triamcinolone injections can induce bacterial endophthalmitis, which has a devastating effect on the
ocular tissues and results in severe loss of vision. The procedure of injection in diabetic and immunocompromised patients should be performed with great care.
Material and methods: a 54-year-old woman with diabetic macular edema developed endophthalmitis after triamcinolone injection. First she was treated with intravitreal antibiotic injections and next with four surgeries – facovitrectomy, revitrectomy,
silicone oil removal and revitrectomy.
Results: the initial visual acuity was 0.5. From the vitreous cultured Staphylococcus epidermidis. Depite the intensive medical
intervention, the toxic retinal damage occurred and the final visual acuity was hand movement.
Conclusions: intravitreal triamcinolone injections can induce bacterial endophthalmitis, which has a devastating effect on the
ocular tissues and results in severe loss of vision. The procedure of injection in diabetic and immunocompromised patients should be performed with great care.
Keywords
endophthalmitis, triamcinolone acetonide, diabetic macular edema
Integrated with
