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

Abstract

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 microg/ml) and gentamicin (8 microg/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.

• Authors: Takehiro Yamashita, Norihito Doi, Taiji Sakamoto
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 242 Issue 8 Pg. 679-81 (Aug 2004) ISSN: 0721-832X [Print] Germany
• PMID: 15224212 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Triamcinolone Acetonide

Topics

• Anti-Inflammatory Agents (adverse effects, therapeutic use)
• Endophthalmitis (microbiology)
• Fluorescein Angiography
• Fundus Oculi
• Humans
• Male
• Middle Aged
• Staphylococcal Infections (chemically induced, diagnosis)
• Staphylococcus epidermidis
• Triamcinolone Acetonide (adverse effects, therapeutic use)
• Ultrasonography
• Vitrectomy (methods)