Periocular abscess caused by Pseudallescheria boydii after a posterior subtenon injection of triamcinolone acetonide.

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
In Kyung OhJaeryung Oh

Abstract

A posterior subtenon injection of triamcinolone acetonide is an alternative to intravitreal injection in diabetic macular edema and is known to have fewer vision-threatening complications. Here, we report a case of periocular abscess following posterior subtenon injection of triamcinolone. A 62-year-old woman who had diabetic macular edema and disc neovascularization underwent a posterior subtenon injection of triamcinolone acetonide and panretinal laser photocoagulation. One month later a periocular abscess was noted in the inferotemporal area adjacent to the scleral wall. Pus was removed by fine-needle aspiration, and microbiologic cultures identified Pseudallescheria boydii. The patient was given systemic and subconjunctival treatment with itraconazole. However, conjunctival infection and anterior chamber inflammation worsened, and another posterior subtenon abscess was found. Despite long-term systemic and topical itraconazole therapy, retinal detachment and vitreous opacity were shown on B-scan, and atrophic bulbi resulted. Pseudallescheria boydii infection of the eye and orbit can result in a poor visual outcome. Prompt surgical debridement and drainage of the abscess, along with appropriate antifungal therapy based on su...Continue Reading

References

Apr 14, 2004·Archives of Ophthalmology·Christopher J EngelmanPeter Egbert
Mar 1, 2005·American Journal of Ophthalmology·Sophie J Bakri, Peter K Kaiser
Oct 7, 2005·Expert Review of Anti-infective Therapy·Thomas A O'Bryan

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Citations

Apr 18, 2008·Indian Journal of Ophthalmology·Jaspreet SukhijaAmod Gupta
Aug 6, 2009·Cornea·Anat GalorDarlene Miller
Jun 23, 2016·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Koushik TripathyShabeer Basheer
Mar 28, 2021·Orbit·Mythri K RaoBipasha Mukherjee
Aug 19, 2007·Current Opinion in Ophthalmology

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