Severe complication during strabismus surgery

Archivos de la Sociedad Española de Oftalmología
J García de Oteyza, G García de Oteyza

Abstract

A 4-year-old patient, who presented with an immediate orbital haematoma as a result of a subtenon injection of triamcinolone in the trochlear region of the right eye on finishing a surgical procedure for Brown's syndrome. After one week, when it could be examined better, the presence of a cherry red spot was observed due to the embolisation of the central artery of the retina by triamcinolone crystals. Triamcinolone is an anti-inflammatory drug currently used in Ophthalmology for the treatment of various conditions. Although exceptional, it has been described that its use may provoke embolisations due to the entry of the steroid into the circulation.

References

Jan 1, 1989·The British Journal of Ophthalmology·W S WilkinsonK A Gitter
Jun 1, 1980·American Journal of Ophthalmology·D W WhitemanR M Pinkerton
Jul 4, 2002·American Journal of Ophthalmology·Darius M MoshfeghiPeter K Kaiser
Feb 26, 2010·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Gavin McEwanKent Blade
Oct 12, 2010·International Ophthalmology Clinics·David K Coats
Jan 1, 1997·Strabismus·R W Berger, W Haase
Jan 29, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·John A Bradbury, Robert H Taylor

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