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Published on: May 31, 2024
Inadvertent intravitreal gentamicin injection
Z Burgansky1, T Rock, E Bartov
1Department of Ophthalmology, Edith Wolfson Medical Center, Holon, Israel. b_zvia@hotmail.com
Purpose:
To describe the management and consequences of an accidental injection of gentamicin in the vitreous.
Methods:
A retinal detachment developed in a 70-year-old male. During a vitrectomy operation, gentamicin (20mg) was accidentally injected in to the eye. The surgeon immediately began vigorous lavage of the vitreal cavity with balanced salt solution.
Results:
No toxic signs appeared after the operation, despite the devastating consequences described in previous reports.
Conclusions:
The immediate vigorous lavage may have reduced the concentration of the toxic material and its consequences.
