Macular infarction after inadvertent intracameral cefuroxime.
J Cataract Refract Surg
; 37(6): 1168-9, 2011 Jun.
Article
en En
| MEDLINE
| ID: mdl-21596262
ABSTRACT
UNLABELLED We present the case of a 70-year-old patient who had uneventful cataract surgery. Because of a procedural mishap, the patient received an excess dose of intracameral cefuroxime of approximately 62.5 mg. Two weeks postoperatively, evidence of macular infarction with cystoid macular edema was seen on fundus fluorescein angiography. The patient was treated with 4.0 mg of intravitreal triamcinolone, but the visual acuity failed to improve; the final pinhole acuity was 3/60. Based on the postoperative progress, we speculate that a delayed mechanism of vascular toxicity is implicated. The importance of systematic procedures to reduce the risk for mistakes is emphasized, especially for a procedure such as cataract surgery where efficiency is increasingly important. FINANCIAL DISCLOSURE Neither author has a financial or proprietary interest in any material or method mentioned.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades de la Retina
/
Vasos Retinianos
/
Cefuroxima
/
Infarto
/
Errores de Medicación
/
Cámara Anterior
/
Antibacterianos
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
J Cataract Refract Surg
Asunto de la revista:
OFTALMOLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Reino Unido