Acute retinal necrosis after intraocular triamcinolone acetonide injection
- PMID: 22741031
- PMCID: PMC3381284
- DOI: 10.1097/ICB.0b013e3181b5ee58
Acute retinal necrosis after intraocular triamcinolone acetonide injection
Abstract
Purpose: The purpose of this study was to report a case of acute retinal necrosis after combined cataract surgery and intracameral triamcinolone acetonide injection in a healthy elderly patient.
Methods: Testing used was a clinical examination including fundus photographs, fluo-rescein angiography, and serologic testing.
Results: A 75-year-old healthy white woman undergoing cataract extraction received an injection of intracameral triamcinolone acetonide as a substitute for postoperative topical steroids. Two weeks later, the patient developed acute retinal necrosis, which responded well to systemic antiviral therapy.
Conclusion: Acute retinal necrosis is a rare, but potentially devastating, complication that may be associated with intraocular triamcinolone acetonide injection.
Figures
References
-
- Jonas JB, Kreissig I, Degenring R. Intravitreal triamcinolone acetonide for treatment of intraocular proliferative, exudative, and neovascular diseases. Prog Retin Eye Res. 2005;24:587–611. - PubMed
-
- Gills JP, Gills P. Effect of intracameral triamcinolone to control inflammation following cataract surgery. J Cataract Refract Surg. 2005;31:1670–1671. - PubMed
-
- Gillies MC, Simpson JM, Billson FA, et al. Safety of an intravitreal injection of triamcinolone: results from a randomized clinical trial. Arch Ophthalmol. 2004;122:336–340. - PubMed
-
- Lau CH, Missotten T, Salzmann J, Lightman SL. Acute retinal necrosis: features, management and outcomes. Ophthalmology. 2007;143:536–538. - PubMed
-
- Moshfeghi DM, Kaiser PK, Scott IU, et al. Acute endophthalmitis following intravitreal triamcinolone acetonide injection. Am J Ophthalmol. 2003;136:791–796. - PubMed
Grants and funding
LinkOut - more resources
Full Text Sources
