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Weak symptoms of bacterial endophthalmitis after a triamcinolone acetonide-assisted pars plana vitrectomy

Weak symptoms of bacterial endophthalmitis after a triamcinolone acetonide-assisted pars plana vitrectomy

Graefe's Archive for Clinical and Experimental Ophthalmology 242(8): 679-681

Purpose: To report a case of endophthalmitis after triamcinolone acetonide (TA)-assisted par plane vitrectomy (PPV). Methods: A 60-year-old Japanese man developed endophthalmitis after TA-assisted PPV for diabetic macular edema. Preoperative visual acuity was 20/200. Four days after surgery, endophthalmitis associated with anterior chamber hypopyon was noticed; the patient's vision had deteriorated to hand motion. In spite of severe cell infiltration, the ciliary injection and ocular pain were not significant. Results: The additional PPV with irrigation of cefazolin (40 mug/ml) and gentamicin (8 mug/ml) was performed. Endophthalmitis resolved soon after this treatment. Staphylococcus epidermidis was detected in the intravitreous samples. The patient's visual acuity improved to 20/100. Conclusion: Endophthalmitis may be a complication of TA-assisted PPV with unique signs and symptoms.

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Accession: 012747002

Download citation: RISBibTeXText

PMID: 15224212

DOI: 10.1007/s00417-003-0834-2

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