Mild Bilateral Hemorrhagic Occlusive Retinal Vasculitis Following Intracameral Vancomycin Administration in Cataract Surgery

Ophthalmic Surgery, Lasers & Imaging Retina
Sruthi ArepalliSunil K Srivastava

Abstract

A patient underwent cataract surgery with prophylactic intracameral vancomycin (Vancocin; Pfizer, New York City, NY) in each eye, 2 weeks apart. Four weeks after, the patient presented with a mild bilateral hemorrhagic occlusive retinal vasculitis (HORV). A systemic work-up was negative for syphilis, toxoplasmosis, Bartonella, tuberculosis, and sarcoidosis. The patient was treated with oral steroids and one intravitreal steroid injection in the left eye. Ten months after presentation, the patient's vasculitis was quiescent. Although the literature describes primarily severe forms of HORV, the authors' case describes bilateral, mild HORV and highlights the potential underreporting of these cases in the literature. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:369-373.].

References

May 29, 2007·Journal of Cataract and Refractive Surgery·UNKNOWN Endophthalmitis Study Group, European Society of Cataract & Refractive Surgeons
May 14, 2010·Clinical Ophthalmology·Deepa R AnijeetClive O Peckar
Aug 16, 2014·Ophthalmic Surgery, Lasers & Imaging Retina·Laura B NicholsonLucia Sobrin
Jul 21, 2015·Journal of Cataract and Refractive Surgery·David F ChangUNKNOWN ASCRS Cataract Clinical Committee
Oct 21, 2016·Clinical & Experimental Ophthalmology·Yi Eve Hsing, Joseph Park
Dec 14, 2016·Journal of Cataract and Refractive Surgery·Matthew A MillerStephen R Russell
Jan 4, 2017·Retinal Cases & Brief Reports·Roger A GoldbergJeffrey S Heier

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Citations

Aug 17, 2019·Ocular Immunology and Inflammation·Guneet S SodhiKapil G Kapoor
Apr 14, 2021·Ocular Immunology and Inflammation·Emmett T CunninghamManfred Zierhut

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Methods Mentioned

BETA
biopsy

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