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Macular infarction after intravitreal amikacin
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Abstract:
A case of macular infarction after intravitreal amikacin was observed in a patient with postoperative endophthalmitis. A review of the literature revealed no previously documented case occurring after intravitreal amikacin. Suggestions to avoid such a complication in an otherwise recovered patient are discussed. Also, better alternatives to intravitreal aminoglycosides should be sought.
Insights
A rare case of macular infarction occurred after intravitreal amikacin injection for postoperative endophthalmitis. This complication, previously undocumented with amikacin, highlights the need for safer alternatives to intravitreal aminoglycosides.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
- Infectious Diseases
Background:
- Postoperative endophthalmitis is a severe intraocular infection requiring prompt treatment.
- Intravitreal antibiotics are a common treatment for endophthalmitis.
- Aminoglycosides are frequently used intravitreal antibiotics.