Introduction: Intravitreal dexamethasone implant (IDI) has been recently introduced into clinical practice for the treatment of various ocular conditions including non-infectious uveitis and macular edema. Endophthalmitis following IDI is an uncommon and a serious complication.
Case Presentation: In this report, we present a case of sterile endophthalmitis following IDI in a fourteen-year-old female for whom IDI was indicated to treat uveitic cystoid macular edema, which was refractory to maximum systemic and local therapy. She presented within 24 hours following the implant insertion, complaining of only a decrease in vision. It was managed by emergent pars plana vitrectomy with the removal of the implant. This resulted in clinical improvement and resolution of the inflammation. Intravitreal and implant Gram stain and polymerase chain reaction came out negative. An IDI was implanted one year later without similar complications.
Conclusion: Our case showed that sterile endophthalmitis could occur following intravitreal dexamethasone injection. Repeated IDI does not seem to be contraindicated.
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
We use cookies and other tracking technologies to work properly, to analyze our website traffic, and to understand where our visitors are coming from. More InfoGot It!
