Steroid hypopyon following intravitreal triamcinolone acetonide injection in a pseudophakic patient.
OBJECTIVE
A 64-year-old woman presenting with the complaint of 'white stuff' in her left eye one day after intravitreal triamcinolone injection for chronic pseudophakic cystoid macular edema after cataract extraction and anterior chamber intraocular lens implant is presented.


METHODS
Differential diagnosis included post-injection endophthalmitis versus 'steroid hypopyon.'


RESULTS
The patient was observed closely and the hypopyon cleared in four days. Three weeks after the injection, her visual acuity had improved from 20/200 to 20/70 with complete resolution of the macular edema.


CONCLUSIONS
Patients having no capsular barrier presenting with hypopyon one day after IVTA may be observed closely for a few days for resolution of hypopyon prior to being treated as endophthalmitis.
Amato
Josh E
JE
Saint Louis University Eye Institute, MO 63104, USA.
Lee
Dave H
DH
Santos
Byron A
BA
Akduman
Levent
L
D000869:Anterior Eye Segment / Q000187:drug effects*; D003937:Diagnosis, Differential; D009877:Endophthalmitis / Q000139:chemically induced* / Q000175:diagnosis; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007267:Injections; D008269:Macular Edema / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D008875:Middle Aged; D019591:Pseudophakia / Q000150:complications*; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects*; D014792:Visual Acuity; D014822:Vitreous Body
D005938:Glucocorticoids; D014222:Triamcinolone Acetonide