Noninfectious Hypopion Alter Intravitreal Triamcinolone Acetonide Injection for Central Retinal Vein Occlusion: A Case Report

玻璃體內注射triamcinolone acetonide治療中心視網膜靜脈阻塞後產生非感染性前房蓄膿－病例報告

邱育德(Yu-Te Chiu) ； 蔡宜佑(Yi-Yu Tsai) ； 林正明(Jane-Ming Lin)

《The Kaohsiung Journal of Medical Sciences》 21卷10期 (2005/10) Pp. 466-469

摘要

玻璃體內注射triamcinolone acetonide後產生感染性眼內炎的病例，雖然少見，但卻是極為嚴重的併發症之一。因此，眼科醫師必須注意去區別是否為感染性或非感染性眼內炎。我們報告一位62歲女性接受玻璃體內注射triamcinolone acetonide治療中心視網膜靜脈阻塞。在注射完後第一天，眼前房產生前房蓄膿（白黃色沉積物）。她覺得視力下降，但是並沒有眼睛疼痛、眼皮腫脹、結膜充血增加或角膜水腫等現象。在沒有其他玻璃體內注射或系統性抗生素治療下，這白黃色沉積物，在之後的追蹤檢查中逐漸減少。最後在手術後第五天完全吸收而消失。

關鍵字

前房蓄膿 ； triamcinolone acetonide ； 中心視網膜靜脈阻塞

並列摘要

Although it is rare, infectious endophthalmitis is a severe ocular complication resulting from intravitreal injection of triamcinolone acetonide (TA). Therefore, care must be taken by ophthalmologists to differentiate between what is infectious and noninfectious endophthalmitis. We report on a 62-year-old woman who received an intravitreal injection of TA for treatment of central retinal vein occlusion. One day after the injection, a hypopion (a white-yellowish deposit) was noted in the inferior anterior chamber. The patient complained that her vision had deteriorated, but there was no pain, eyelid edema, increased conjunctival injection or corneal edema. The hypopion gradually diminished and by the fifth postoperative day, resolved completely without the administration of intravitreal or systemic antibiotic therapy.

並列關鍵字

hypopion ； triamcinolone acetonide ； central retinal vein occlusion