Vitrectomy for accidental intraocular steroid injection.
BACKGROUND
Accidental perforation of the globe and intraocular injection of steroid is a potential complication of periocular injections. Final outcomes in eyes in which this complication has occurred have been reported to be unsatisfactory in the past. However, the advent of vitrectomy has altered their prognosis significantly.


METHODS
A retrospective analysis was done of five cases of accidental intraocular steroid injection, treated by vitrectomy. Additional procedures involved treatment of retinal breaks (where required) with endolaser or transscleral cryopexy. Scleral buckling was done in one case.


RESULTS
Barring one case in which retinal detachment developed, there were no postoperative complications. At last follow up all patients had satisfactory recovery of visual acuity; had attached retina; and quiet anterior chamber and vitreous cavities.


CONCLUSIONS
Vitrectomy is associated with satisfactory results in cases of accidental intraocular steroid injection. Delay up to a few days does not seem to materially influence the outcome.
Vision Research Foundation, Madras, India.
L
L
Gopal
M
M
Bhende
T
T
Sharma
D000293:Adolescent; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D003452:Cryosurgery; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000009:adverse effects; D007267:Injections / Q000009:adverse effects; D053685:Laser Therapy; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects; D008875:Middle Aged; D016602:Needlestick Injuries / Q000209:etiology / Q000601:surgery*; D009883:Ophthalmic Solutions; D009915:Orbit / Q000293:injuries; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D014792:Visual Acuity; D014821:Vitrectomy
D000893:Anti-Inflammatory Agents; D009883:Ophthalmic Solutions; D006854:Hydrocortisone; D008775:Methylprednisolone