Clinical analysis on endophthalmitis after intravitreal injection
Journal Title: Eye Science (Yanke Xuebao) - Year 2021, Vol 36, Issue 5
Abstract
[Objective:] To analyze the incidence and causes of endophthalmitis after intravitreal injection and to further improve the safety of the surgery. [Methods:] The follow-up data of 973 eyes of 421 patients who received intravitreal injection in our hospital in the past 9 years at 1 day, 1 week and 1 month were retrospectively analyzed. The types of injected drugs, the cause of injection and systemic history were summarized, and the occurrence and treatment of postoperative endophthalmitis were summarized. [Results:] The intravitreal injections were safe. However, the severe complication of endophthalmitis (0.41%) occurred occasionally. Among these 4 patients with endophthalmitis, 2 patients were intravitreal injected triamcinolone acetonide because of Irvine-Gass syndrome; 1 patient accepted intravitreal injection by Ranibizumab because of central retinal vein occlusion; 1 patient accepted intravitreal injection by Ranibizumab because of central exudative chorioretinopathy. The incidence of endophthalmitis (1.99%) after intravitreal injection of triamcinolone acetonide was higher than that of anti-vascular endothelial growth factor (VEGF) agents (0.12%). [Conclusion:] The clinical operating guideline of intravitreal injection should be followed strictly. Furthermore, the elderly people with hypertension diagnosed of Irvine-Gass syndrome have a higher risk of endophthalmitis after intravitreal injection of triamcinolone acetonide than others and should be paid more important attention.
Authors and Affiliations
Na LI, Qian SHI, Lixiong GAO, Liqun CAO
Keywords
Related Articles
- EP ID EP763509
- DOI 10.3978/j.issn.1000-4432.2021.05.02
- Views 19
- Downloads 0
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