HEMORRHAGIC VASCULITIS AND RETINOPATHY HERALDING AS AN EARLY SIGN OF BACTERIAL ENDOPHTHALMITIS AFTER INTRAVITREAL INJECTION

Christopher D Conrady; Jonathan A Feistmann; Aaron B Roller; H Culver Boldt; Akbar Shakoor

doi:10.1097/ICB.0000000000000601

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HEMORRHAGIC VASCULITIS AND RETINOPATHY HERALDING AS AN EARLY SIGN OF BACTERIAL ENDOPHTHALMITIS AFTER INTRAVITREAL INJECTION

Journal article

Peer reviewed

HEMORRHAGIC VASCULITIS AND RETINOPATHY HERALDING AS AN EARLY SIGN OF BACTERIAL ENDOPHTHALMITIS AFTER INTRAVITREAL INJECTION

Christopher D Conrady, Jonathan A Feistmann, Aaron B Roller, H Culver Boldt and Akbar Shakoor

Retinal cases & brief reports, Vol.13(4), pp.329-332

2019

DOI: 10.1097/ICB.0000000000000601

PMID: 28594738

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Abstract

To describe a case series of postintravitreal injection, bacterial endophthalmitis heralded by hemorrhagic retinal vasculitis. Observational case series of three patients with a history of intravitreal injections for age-related macular degeneration at a tertiary referral center who presented with vision changes and eye pain that were eventually found to have bacterial endophthalmitis. Clinical course was then followed. All patients developed bacterial endophthalmitis and hemorrhagic retinal vasculitis. These three cases highlight the importance of hemorrhagic retinal vasculitis as the presenting fundus finding of bacterial endophthalmitis and that this finding in a postinjection patient should be treated as endophthalmitis until proven otherwise.

Follow-Up Studies

Bevacizumab - adverse effects

Humans

Male

Eye Infections, Bacterial - diagnosis

Macular Degeneration - drug therapy

Angiogenesis Inhibitors - administration & dosage

Eye Infections, Bacterial - microbiology

Time Factors

Streptococcus - isolation & purification

Aged, 80 and over

Receptors, Vascular Endothelial Growth Factor - antagonists & inhibitors

Endophthalmitis - diagnosis

Female

Angiogenesis Inhibitors - adverse effects

Fluorescein Angiography

Intravitreal Injections - adverse effects

Streptococcal Infections - microbiology

Eye Hemorrhage - etiology

Bevacizumab - administration & dosage

Endophthalmitis - complications

Eye Hemorrhage - diagnosis

Retinal Vasculitis - diagnosis

Streptococcal Infections - diagnosis

Endophthalmitis - microbiology

Eye Infections, Bacterial - complications

Aged

Streptococcal Infections - complications

Fundus Oculi

Retinal Vasculitis - etiology

Details

Title: Subtitle: HEMORRHAGIC VASCULITIS AND RETINOPATHY HERALDING AS AN EARLY SIGN OF BACTERIAL ENDOPHTHALMITIS AFTER INTRAVITREAL INJECTION
Creators: Christopher D Conrady - Department of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah
Jonathan A Feistmann - Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York
Aaron B Roller - Texas Retina Institute, Round Rock, Texas
H Culver Boldt - Department of Ophthalmology, University of Iowa, Iowa City, Iowa
Akbar Shakoor - Department of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah
Resource Type: Journal article
Publication Details: Retinal cases & brief reports, Vol.13(4), pp.329-332
DOI: 10.1097/ICB.0000000000000601
PMID: 28594738
NLM abbreviation: Retin Cases Brief Rep
ISSN: 1935-1089
eISSN: 1937-1578
Language: English
Date published: 2019
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984083284102771

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