RETINAL TOXICITY FROM ACCIDENTAL INTRAVITREAL INJECTION OF METHYL PREDNISOLONE: A CASE REPORT

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FEGHHI M.; ZAMANI M.

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Journal: BINA Year:2003 | Volume:8 | Issue:3 (31) Page(s): 273-276

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Title

RETINAL TOXICITY FROM ACCIDENTAL INTRAVITREAL INJECTION OF METHYL PREDNISOLONE: A CASE REPORT

Author(s)

FEGHHI M. | ZAMANI M. | Issue Writer Certificate

Keywords

ACCIDENTAL INTRAVITREAL INJECTIONQ3

DEPOT-STEROIDSQ3

RETINAL TOXICITYQ3

Abstract

Purpose: To report a case of retinal toxocity after ACCIDENTAL INTRAVITREAL INJECTION of methyl prednisolone.Patient and findings: A 53-year-oldwoman presented with decreased vision in her left eye since 1 week before. She had corneal graft about 8 month before. Ophthalmic examination revealed visual acuity of 1.5m counting finger, 3+ corneal edema, and diffuse KPs. She was treated for endothelial graft rejection using local administration of methyl prednisolone (1 ml, 40 mg) by trans-septal injection superiorly. The patient had pain and immediate loss of vision. She was admitted immediately after the accident. Prone-positioning and intravenous mannitol was administered and pars plana vitrectomy was performed. At 1 month, ophthalmic examination showed a clear corneal graft, complete retinal attachment, extensive macular ischemia, and macular pucker. Visual acuity was no light perception (NLP). Conclusion: Perforation of the globe with intraocular injection of DEPOT-STEROIDS is a rare and dangerous complication of periocular steroid therapy. It produces severe visual loss as a result of RETINAL TOXICITY. Ophthalmologists should be aware of the risks of periocular injections and accidental injection into the vitreous cavity should be considered as an emergency.

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APA: Copy

FEGHHI, M., & ZAMANI, M.. (2003). RETINAL TOXICITY FROM ACCIDENTAL INTRAVITREAL INJECTION OF METHYL PREDNISOLONE: A CASE REPORT. BINA, 8(3 (31)), 273-276. SID. https://sid.ir/paper/42676/en

Vancouver: Copy

FEGHHI M., ZAMANI M.. RETINAL TOXICITY FROM ACCIDENTAL INTRAVITREAL INJECTION OF METHYL PREDNISOLONE: A CASE REPORT. BINA[Internet]. 2003;8(3 (31)):273-276. Available from: https://sid.ir/paper/42676/en

IEEE: Copy

M. FEGHHI, and M. ZAMANI, “RETINAL TOXICITY FROM ACCIDENTAL INTRAVITREAL INJECTION OF METHYL PREDNISOLONE: A CASE REPORT,” BINA, vol. 8, no. 3 (31), pp. 273–276, 2003, [Online]. Available: https://sid.ir/paper/42676/en

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