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A case of endophthalmitis after triamcinolone-assisted vitrectomy



A case of endophthalmitis after triamcinolone-assisted vitrectomy



Rinsho Ganka 58(5): 845-848



A 64-year-old woman presented with epiretinal membrane and metamorphopsia in her left eye. Corrected visual acuity was 0.9 left. She underwent phacoemulsification-aspiration, intraocular lens implantation, pars plana vitrectomy, and peeling of epiretinal membrane. Triamcinolone acetate was added to the perfusion fluid. The intraoperative and immediate postoperative period was uneventful. The visual acuity was 1.2 3 weeks after surgery. She developed blurring of vision 5 weeks after surgery, with visual acuity of 0.01. Her left eye showed minimum signs of inflammation in the anterior chamber and severe vitreous opacity, suggesting infectious endophthalmitis. After 4 days of systemic antibiotics, vitrectomy was performed on day 5 with antibiotics added to the perfusion fluid. She regained final visual acuity of 1.5. Attempts to isolate microorganism were in vain throughout. This case illustrates that endophthalmitis following triamcinolon-assisted vitrectomy may be of late onset and may show lesser involvement of anterior ocular segment.

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