title: [Endophthalmitis following intravitreal triamcinolone acetonid injection--a case report].
abstract: OBJECTIVE
  To report a case of acute endophthalmitis following intravitreal triamcinolone acetonide injection.
  
  
  METHODS
  A 54-year-old woman with diabetic macular edema developed endophthalmitis after triamcinolone injection. First she was treated with intravitreal antibiotic injections and next with four surgeries--facovitrectomy, revitrectomy, silicone oil removal and revitrectomy.
  
  
  RESULTS
  The initial visual acuity was 0.5. From the vitreous cultured Staphylococcus epidermidis. Depite the intensive medical intervention, the toxic retinal damage occurred and the final visual acuity was hand movement.
  
  
  CONCLUSIONS
  intravitreal triamcinolone injections can induce bacterial endophthalmitis, which has a devastating effect on the ocular tissues and results in severe loss of vision. The procedure of injection in diabetic and immunocompromised patients should be performed with great care.
authors.affiliation: Oddziału Klinicznego Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie. ajamrozy@poczta.fm
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Jamrozy-Witkowska
authors.forename: Iwona
authors.initials: I
authors.lastname: Grabska-Liberek
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Kowalska
authors.forename: Jolanta
authors.initials: J
authors.lastname: Oficjalska-Młyńczak
mesh_terms: D003930:Diabetic Retinopathy / Q000150:complications / Q000188:drug therapy*; D009877:Endophthalmitis / Q000209:etiology* / Q000382:microbiology*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D056965:Injections, Intraocular / Q000009:adverse effects*; D008269:Macular Edema / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000382:microbiology*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*; D014786:Vision Disorders / Q000382:microbiology*; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide