Data di Pubblicazione:
2007
Citazione:
Gentamicin-induced macular infarction in transconjunctival sutureless 25-gauge vitrectomy / Cardascia, N; Boscia, Francesco; Furino, C; Sborgia, L.. - In: INTERNATIONAL OPHTHALMOLOGY. - ISSN 0165-5701. - 28:5(2007), pp. 383-385.
Abstract:
PURPOSE: State Gentamicin antibiotic prophylaxis is contraindicated in 25 gauge Transconjunctival Sutureless Vitrectomy.
METHODS: A 75-year-old diabetic woman was affected by glaucoma and mild diabetic retinopathy in both eyes, and epiretinal membrane in the left eye. A 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) was performed with self-sealing transconjunctival scletomies of the left eye. Post-operation antibiotic prophylaxis was obtained by subconconjunctival injection of Gentamicin sulfate (0.4 mg/ml) adjacent to scletomies.
RESULTS: A month after the operation visual acuity had not recovered. Fluorescein angiography detected occlusion of perifoveal capillaries.
CONCLUSION: Antibiotics, in particular gentamicin, have the potential to cause significant ocular toxicity when they gain access to the inside of the eye, through thinned sclera or sutureless sclerotomies of TSV.
METHODS: A 75-year-old diabetic woman was affected by glaucoma and mild diabetic retinopathy in both eyes, and epiretinal membrane in the left eye. A 25-gauge Transconjunctival Sutureless Vitrectomy (TSV) was performed with self-sealing transconjunctival scletomies of the left eye. Post-operation antibiotic prophylaxis was obtained by subconconjunctival injection of Gentamicin sulfate (0.4 mg/ml) adjacent to scletomies.
RESULTS: A month after the operation visual acuity had not recovered. Fluorescein angiography detected occlusion of perifoveal capillaries.
CONCLUSION: Antibiotics, in particular gentamicin, have the potential to cause significant ocular toxicity when they gain access to the inside of the eye, through thinned sclera or sutureless sclerotomies of TSV.
Tipologia CRIS:
1.1 Articolo in rivista
Elenco autori:
Cardascia, N; Boscia, Francesco; Furino, C; Sborgia, L.
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