Journal article
Postoperative hemorrhagic occlusive retinal vasculitis associated with intracameral vancomycin prophylaxis during cataract surgery
Journal of Cataract & Refractive Surgery, Vol.42(11), pp.1676-1680
11/2016
DOI: 10.1016/j.jcrs.2016.09.013
PMID: 27956296
Abstract
We present the case of a 75-year-old man who had uneventful cataract surgery and administration of intracameral vancomycin for endophthalmitis prophylaxis, followed by the same procedure in the fellow eye 1 week later. The patient subsequently developed bilateral hemorrhagic occlusive retinal vasculitis, resulting in profound vision loss in both eyes. A second case of hemorrhagic occlusive retinal vasculitis previously reported from our institution is summarized. That case was characterized by a far milder course, with rapid resolution of vision loss. The 2 cases illustrate the broad range of toxicity potentially associated with intracameral vancomycin, suggest that bilateral administration results in a worse prognosis, and indicate that this disorder may be underrecognized due to the potential for a mild course. We recommend that intracameral vancomycin not be used for endophthalmitis prophylaxis. None of the authors has a financial or proprietary interest in any material or method mentioned.
Details
- Title: Subtitle
- Postoperative hemorrhagic occlusive retinal vasculitis associated with intracameral vancomycin prophylaxis during cataract surgery
- Creators
- Matthew A MillerLucas T LenciChittaranjan V ReddyStephen R Russell
- Resource Type
- Journal article
- Publication Details
- Journal of Cataract & Refractive Surgery, Vol.42(11), pp.1676-1680
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jcrs.2016.09.013
- PMID
- 27956296
- ISSN
- 0886-3350
- eISSN
- 1873-4502
- Language
- English
- Date published
- 11/2016
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983980063502771
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