Presumed Necrotizing Viral Retinitis after Intravitreal Triamcinolone Injection: Case Report.
10.3341/kjo.2011.25.6.451
- Author:
Jeong Mo HAN
1
;
Jeeyun AHN
;
Kyu Hyung PARK
;
Se Joon WOO
Author Information
1. Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Reports ; Review
- Keywords:
Acute retinal necrosis;
Herpetic retinitis;
Intravitreal injections;
Intravitreal triamcinolone acetonide injection
- MeSH:
Antiviral Agents/therapeutic use;
Aspirin/therapeutic use;
Drug Therapy, Combination;
Humans;
Intravitreal Injections;
Male;
Middle Aged;
Opportunistic Infections/*chemically induced/virology;
Retinal Necrosis Syndrome, Acute/*chemically induced/virology;
Triamcinolone Acetonide/administration & dosage/*adverse effects
- From:Korean Journal of Ophthalmology
2011;25(6):451-454
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 56-year-old man presented with anterior chamber inflammation, increased intraocular pressure, peripheral retinal infiltration, and generalized retinal arterial obstruction suggesting acute retinal necrosis five months after intravitreal triamcinolone acetonide injection (IVTA). He was treated with intravenous antiviral agents and aspirin. Shortly after treatment, retinal infiltrations were resolved, and partial recanalization of the obstructed vessel was observed. Viral retinitis may occur as an opportunistic infection following IVTA due to the local immune modulatory effect of the steroid; hence, close observation following IVTA is necessary.