title: Scleral abscess following posterior subtenon triamcinolone acetonide injection for diabetic macular edema.
abstract: A 65-year-old male with uncontrolled diabetes, received posterior subtenon triamcinolone (PST) injection in the right eye for diabetic macular edema. Two days following PST, he developed scleral abscess at the injection site. The Gram stain showed Gram positive cocci in clusters. He responded favorably with systemic control of diabetes, topical concentrated cefazolin, concentrated tobramycin, and intravenous antibiotics. Possibility of infective complications should be considered when using periocular steroids, especially in diabetics. Strict control of diabetes and aggressive systemic antibiotics favor rapid healing in such cases.
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Koushik
authors.initials: K
authors.lastname: Tripathy
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Yog Raj
authors.initials: YR
authors.lastname: Sharma
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Harsh Inder
authors.initials: HI
authors.lastname: Singh
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Rajpal
authors.initials: R
authors.lastname: Vohra
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Venkatesh
authors.affiliation: Unit I, Department of Retina and Uvea, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, India.
authors.forename: Shabeer
authors.initials: S
authors.lastname: Basheer
keywords: DME; Diabetic retinopathy; Infective scleritis; Periocular infection; Subconjunctival abscess