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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Format: | Article |
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BMC
2017-12-01
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Series: | BMC Ophthalmology |
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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. |
first_indexed | 2024-12-13T13:18:50Z |
format | Article |
id | doaj.art-ea3dc231c2b24134b360fa0f56101687 |
institution | Directory Open Access Journal |
issn | 1471-2415 |
language | English |
last_indexed | 2024-12-13T13:18:50Z |
publishDate | 2017-12-01 |
publisher | BMC |
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series | BMC Ophthalmology |
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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