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

Details

Serval ID
serval:BIB_874F2DD77B06
Type
Article: article from journal or magazin.
Collection
Publications
Title
Early anti-VEGF treatment for hemorrhagic occlusive retinal vasculitis as a complication of cataract surgery.
Journal
BMC ophthalmology
Author(s)
Andreanos K., Petrou P., Kymionis G., Papaconstantinou D., Georgalas I.
ISSN
1471-2415 (Electronic)
ISSN-L
1471-2415
Publication state
Published
Issued date
06/12/2017
Peer-reviewed
Oui
Volume
17
Number
1
Pages
238
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
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.
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.
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.

Keywords
Angiogenesis Inhibitors/therapeutic use, Bevacizumab/therapeutic use, Cataract Extraction, Eye Hemorrhage/drug therapy, Female, Humans, Middle Aged, Postoperative Complications/drug therapy, Retinal Vasculitis/drug therapy, Treatment Outcome, Vascular Endothelial Growth Factor A, Anti-VEGF, Cataract surgery, Hemorrhagic occlusive retinal vasculitis, Vancomycin
Pubmed
Web of science
Open Access
Yes
Create date
19/01/2018 9:38
Last modification date
20/08/2019 14:46
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