Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin

Recently, there have been reports suggesting that intracameral vancomycin has been associated with retinal vasculitis; some have described this phenomenon as postoperative hemorrhagic occlusive retinal vasculitis. We present a case of a 65-year-old woman who underwent uncomplicated phacoemulsificati...

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Main Authors: Lucas T. Lenci, Eric K. Chin, Christi Carter, Stephen R. Russell, David R. P. Almeida
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2015/683194
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author Lucas T. Lenci
Eric K. Chin
Christi Carter
Stephen R. Russell
David R. P. Almeida
author_facet Lucas T. Lenci
Eric K. Chin
Christi Carter
Stephen R. Russell
David R. P. Almeida
author_sort Lucas T. Lenci
collection DOAJ
description Recently, there have been reports suggesting that intracameral vancomycin has been associated with retinal vasculitis; some have described this phenomenon as postoperative hemorrhagic occlusive retinal vasculitis. We present a case of a 65-year-old woman who underwent uncomplicated phacoemulsification and posterior chamber intraocular lens implantation followed by intracameral antibiotic prophylaxis. Unlike prior reports, this report demonstrates a case of mild visual reduction and minimal inflammation with subtle but complete unilateral peripheral retinal ischemia associated with cataract surgery and intracameral vancomycin, suggesting a spectrum of toxicity that may be underrecognized.
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spelling doaj-art-247d1675a31c4fefa4af24d77aa6c0512025-02-03T07:24:40ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302015-01-01201510.1155/2015/683194683194Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral VancomycinLucas T. Lenci0Eric K. Chin1Christi Carter2Stephen R. Russell3David R. P. Almeida4Department of Ophthalmology & Visual Sciences, University of Iowa Hospitals & Clinics, Iowa City, IA 52240, USADepartment of Ophthalmology & Visual Sciences, University of Iowa Hospitals & Clinics, Iowa City, IA 52240, USADepartment of Ophthalmology & Visual Sciences, University of Iowa Hospitals & Clinics, Iowa City, IA 52240, USADepartment of Ophthalmology & Visual Sciences, University of Iowa Hospitals & Clinics, Iowa City, IA 52240, USAVitreoretinal Surgery, PA, 7760 France Avenue S., Minneapolis, MN 55435, USARecently, there have been reports suggesting that intracameral vancomycin has been associated with retinal vasculitis; some have described this phenomenon as postoperative hemorrhagic occlusive retinal vasculitis. We present a case of a 65-year-old woman who underwent uncomplicated phacoemulsification and posterior chamber intraocular lens implantation followed by intracameral antibiotic prophylaxis. Unlike prior reports, this report demonstrates a case of mild visual reduction and minimal inflammation with subtle but complete unilateral peripheral retinal ischemia associated with cataract surgery and intracameral vancomycin, suggesting a spectrum of toxicity that may be underrecognized.http://dx.doi.org/10.1155/2015/683194
spellingShingle Lucas T. Lenci
Eric K. Chin
Christi Carter
Stephen R. Russell
David R. P. Almeida
Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
Case Reports in Ophthalmological Medicine
title Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
title_full Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
title_fullStr Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
title_full_unstemmed Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
title_short Ischemic Retinal Vasculitis Associated with Cataract Surgery and Intracameral Vancomycin
title_sort ischemic retinal vasculitis associated with cataract surgery and intracameral vancomycin
url http://dx.doi.org/10.1155/2015/683194
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AT christicarter ischemicretinalvasculitisassociatedwithcataractsurgeryandintracameralvancomycin
AT stephenrrussell ischemicretinalvasculitisassociatedwithcataractsurgeryandintracameralvancomycin
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