AI Article Synopsis
- The study discusses two cases of vasculitis (one with bleeding and one without) following uncomplicated cataract surgery that used intracameral vancomycin.
- Both patients experienced significant vision loss within two weeks after the surgery, leading to different types of vasculitis.
- Combining various corticosteroid treatments helped partially restore vision and prevented further complications in both cases, highlighting the importance of early diagnosis and treatment.
Article Abstract
Purpose: To describe two cases of vasculitis: one hemorrhagic and one nonhemorrhagic after uncomplicated cataract surgery with intracameral vancomycin.
Methods: Retrospective case series.
Results: A 74-year-old female and a 54-year-old female developed severe visual loss within 2 weeks of uncomplicated cataract surgery with intracameral vancomycin. The first patient developed a fulminant hemorrhagic vasculitis, whereas the second patient developed a less severe nonhemorrhagic vasculitis. Partial visual recovery and prevention of neovascular glaucoma was achieved using a combination of topical, oral, and intravitreal corticosteroids, along with intravitreal antivascular endothelial growth factor agents in the first patient and a combination of topical and oral corticosteroids alone in the second patient.
Conclusion: Hemorrhagic occlusive retinal vasculitis and nonhemorrhagic vasculitis after uncomplicated cataract surgery with intracameral vancomycin have been rarely reported. Early recognition and treatment may prevent devastating visual outcomes.
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| http://dx.doi.org/10.1097/ICB.0000000000000389 | DOI Listing |
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