Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery

Abstract Background We report a case of hemorrhagic occlusive retinal vasculitis (HORV) after prophylactic intracameral vancomycin use during an uneventful cataract surgery treated with early anti-VEGF treatment. Case presentation A 51-year-old female underwent uneventful cataract surgery with proph...

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Main Authors: Konstantinos Andreanos, Petros Petrou, George Kymionis, Dimitrios Papaconstantinou, Ilias Georgalas
Format: Article
Language:English
Published: BMC 2017-12-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-017-0632-y
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author Konstantinos Andreanos
Petros Petrou
George Kymionis
Dimitrios Papaconstantinou
Ilias Georgalas
author_facet Konstantinos Andreanos
Petros Petrou
George Kymionis
Dimitrios Papaconstantinou
Ilias Georgalas
author_sort Konstantinos Andreanos
collection DOAJ
description Abstract Background We report a case of hemorrhagic occlusive retinal vasculitis (HORV) after prophylactic intracameral vancomycin use during an uneventful cataract surgery treated with early anti-VEGF treatment. Case presentation A 51-year-old female underwent uneventful cataract surgery with prophylactic intracameral vancomycin during the procedure. On the seventh post-operative-day, she presented with sudden painful, visual loss. Fundus examination revealed peripheral hemorrhagic retinal vasculitis. She received anti-VEGF therapy to prevent further vision loss and retinal neovascularization due to extensive retinal ischemia. At the 6-month follow-up visit, visual acuity was 20/20 with no sign of neovascularization. Conclusions Postoperative HORV is a devastating condition that can occur after otherwise uncomplicated cataract surgery. The nature of this rare condition remains unknown. Early anti-VEGF administration seems to demonstrate favorable results.
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spelling doaj.art-ea3dc231c2b24134b360fa0f561016872022-12-21T23:44:27ZengBMCBMC Ophthalmology1471-24152017-12-011711410.1186/s12886-017-0632-yEarly anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgeryKonstantinos Andreanos0Petros Petrou1George Kymionis2Dimitrios Papaconstantinou3Ilias Georgalas4First Division of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, “G. Gennimatas” General Hospital of AthensFirst Division of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, “G. Gennimatas” General Hospital of AthensFirst Division of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, “G. Gennimatas” General Hospital of AthensFirst Division of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, “G. Gennimatas” General Hospital of AthensFirst Division of Ophthalmology, School of Medicine, National and Kapodistrian University of Athens, “G. Gennimatas” General Hospital of AthensAbstract Background We report a case of hemorrhagic occlusive retinal vasculitis (HORV) after prophylactic intracameral vancomycin use during an uneventful cataract surgery treated with early anti-VEGF treatment. Case presentation A 51-year-old female underwent uneventful cataract surgery with prophylactic intracameral vancomycin during the procedure. On the seventh post-operative-day, she presented with sudden painful, visual loss. Fundus examination revealed peripheral hemorrhagic retinal vasculitis. She received anti-VEGF therapy to prevent further vision loss and retinal neovascularization due to extensive retinal ischemia. At the 6-month follow-up visit, visual acuity was 20/20 with no sign of neovascularization. Conclusions Postoperative HORV is a devastating condition that can occur after otherwise uncomplicated cataract surgery. The nature of this rare condition remains unknown. Early anti-VEGF administration seems to demonstrate favorable results.http://link.springer.com/article/10.1186/s12886-017-0632-yVancomycinHemorrhagic occlusive retinal vasculitisCataract surgeryAnti-VEGF
spellingShingle Konstantinos Andreanos
Petros Petrou
George Kymionis
Dimitrios Papaconstantinou
Ilias Georgalas
Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
BMC Ophthalmology
Vancomycin
Hemorrhagic occlusive retinal vasculitis
Cataract surgery
Anti-VEGF
title Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
title_full Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
title_fullStr Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
title_full_unstemmed Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
title_short Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
title_sort early anti vegf treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery
topic Vancomycin
Hemorrhagic occlusive retinal vasculitis
Cataract surgery
Anti-VEGF
url http://link.springer.com/article/10.1186/s12886-017-0632-y
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AT georgekymionis earlyantivegftreatmentforhemorrhagicocclusiveretinalvasculitisasacomplicationofcataractsurgery
AT dimitriospapaconstantinou earlyantivegftreatmentforhemorrhagicocclusiveretinalvasculitisasacomplicationofcataractsurgery
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