[Endophthalmitis following intravitreal triamcinolone acetonid injection--a case report].
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.
Jamrozy-Witkowska
Agnieszka
A
Oddziału Klinicznego Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie. ajamrozy@poczta.fm
Grabska-Liberek
Iwona
I
Kowalska
Katarzyna
K
Oficjalska-Młyńczak
Jolanta
J
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
D005938:Glucocorticoids; D014222:Triamcinolone Acetonide