Ocular complication of intralesional corticosteroid injection of a chalazion.
OBJECTIVE
To report a major complication of intralesional corticosteroid injection for the treatment of a chalazion.


METHODS
A 28-year-old woman presented with a 4-day history of decreased vision in her left eye that developed after corticosteroid injection to her upper eyelid for the treatment of chalazion. The visual acuity was 20/20 in her right and finger counting in her left eye. Anterior segment examination showed an inferior corneal opacity with positive Seidel test and cataract.


RESULTS
A soft contact lens was applied to cornea and antibiotic therapy was given to prevent endophthalmitis. Cataract was removed by lens aspiration and a posterior chamber intraocular lens was implanted. After surgery, the visual acuity increased to 20/20 in her left eye.


CONCLUSIONS
Inadvertent corneal penetration and traumatic cataract are possible and serious complications of intralesional corticosteroid injection.
Hoşal
B M
BM
Ankara University, Department of Ophthalmology, Ankara, Turkey. shosal@ada.net.tr
Zilelioğlu
G
G
D000328:Adult; D002386:Cataract / Q000139:chemically induced*; D017043:Chalazion / Q000188:drug therapy*; D003318:Corneal Opacity / Q000139:chemically induced*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D015552:Injections, Intralesional; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification
D005938:Glucocorticoids