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Cefuroxime-Induced Toxic Maculopathy after Intracameral Injection of Standard Dose: A Case Report
Maria E Pantelidou1, Stylianos Bebis2, Elias P Pantelidis3
1Ophthalmology Department, James Paget University Hospital, Great Yarmouth, UK.
Introduction:
Cefuroxime-induced toxic maculopathy can occur when an incorrect or correct dilution is injected intracamerally during cataract surgery.
Case Report:
An 83-year-old male developed toxic maculopathy on the first postoperative day after uneventful cataract surgery. An investigation of the case confirmed that the patient developed sporadic toxic maculopathy after a standard intracameral cefuroxime dose. The patient showed complete recovery of vision during the first postoperative week.
Conclusion:
Cefuroxime-induced toxic maculopathy may occur sporadically and have a good visual outcome. It may be distinguished from toxic maculopathy induced by incorrect dilution based on its different clinical appearance and, in some cases, the guarded outcome. Correct dilution of cefuroxime is of utmost importance.
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