Susie Chang1, David J Weissgold, Jack A Singer, Lucia Sobrin. 1. From the *Retina Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts; †Retina Center of Vermont and Department of Ophthalmology, University of Vermont College of Medicine, Burlington, Vermont; and ‡Singer Eye Center, Randolph, Vermont.
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.
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.
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