Sterile Endophthalmitis after Intravitreal Injections

Sterile endophthalmitis appears as an infrequent complication of intravitreal injections and seems to develop mainly in the context of the off-label use of drugs that have not been conceived for intravitreous administration. The aetiology of sterile endophthalmitis, independently of the administered...

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Main Authors: Joaquín Marticorena, Vito Romano, Francisco Gómez-Ulla
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/928123
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author Joaquín Marticorena
Vito Romano
Francisco Gómez-Ulla
author_facet Joaquín Marticorena
Vito Romano
Francisco Gómez-Ulla
author_sort Joaquín Marticorena
collection DOAJ
description Sterile endophthalmitis appears as an infrequent complication of intravitreal injections and seems to develop mainly in the context of the off-label use of drugs that have not been conceived for intravitreous administration. The aetiology of sterile endophthalmitis, independently of the administered drug, remains uncertain and a multifactorial origin cannot be discarded. Sterile inflammation secondary both to intravitreal triamcinolone acetonide and to intravitreal bevacizumab share many characteristics such as the acute and painless vision loss present in the big majority of the cases. Dense vitreous opacity is a common factor, while anterior segment inflammation appears to be mild to moderate. In eyes with sterile endophthalmitis, visual acuity improves progressively as the intraocular inflammation reduces without any specific treatment. If by any chance the ophthalmologist is not convinced by the sterile origin of the inflammation, this complication must be treated as an acute endophthalmitis because of the devastating visual prognosis of this intraocular infection in the absence of therapy.
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spelling doaj-art-14faf87966d946d39fa0db26b5c0363f2025-02-03T06:01:03ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/928123928123Sterile Endophthalmitis after Intravitreal InjectionsJoaquín Marticorena0Vito Romano1Francisco Gómez-Ulla2Retina and Vitreous Unit, Instituto Oftlamológico Gómez-Ulla, 15705 Santiago de Compostela, SpainDepartment of Ophthalmology, Second University of Naples, 81100 Naples, ItalyRetina and Vitreous Unit, Instituto Oftlamológico Gómez-Ulla, 15705 Santiago de Compostela, SpainSterile endophthalmitis appears as an infrequent complication of intravitreal injections and seems to develop mainly in the context of the off-label use of drugs that have not been conceived for intravitreous administration. The aetiology of sterile endophthalmitis, independently of the administered drug, remains uncertain and a multifactorial origin cannot be discarded. Sterile inflammation secondary both to intravitreal triamcinolone acetonide and to intravitreal bevacizumab share many characteristics such as the acute and painless vision loss present in the big majority of the cases. Dense vitreous opacity is a common factor, while anterior segment inflammation appears to be mild to moderate. In eyes with sterile endophthalmitis, visual acuity improves progressively as the intraocular inflammation reduces without any specific treatment. If by any chance the ophthalmologist is not convinced by the sterile origin of the inflammation, this complication must be treated as an acute endophthalmitis because of the devastating visual prognosis of this intraocular infection in the absence of therapy.http://dx.doi.org/10.1155/2012/928123
spellingShingle Joaquín Marticorena
Vito Romano
Francisco Gómez-Ulla
Sterile Endophthalmitis after Intravitreal Injections
Mediators of Inflammation
title Sterile Endophthalmitis after Intravitreal Injections
title_full Sterile Endophthalmitis after Intravitreal Injections
title_fullStr Sterile Endophthalmitis after Intravitreal Injections
title_full_unstemmed Sterile Endophthalmitis after Intravitreal Injections
title_short Sterile Endophthalmitis after Intravitreal Injections
title_sort sterile endophthalmitis after intravitreal injections
url http://dx.doi.org/10.1155/2012/928123
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