Hemorrhagic occlusive retinal vasculitis after first eye cataract surgery without subsequent second eye involvement

Nicole Balducci, Giacomo Savini, Piero Barboni, Pietro Ducoli, Antonio Ciardella

Research output: Contribution to journalArticlepeer-review

Abstract

A case of monocular postoperative hemorrhagic occlusive retinal vasculitis (HORV) after uncomplicated bilateral cataract surgery is described. HORV is a severe syndrome that leads to painless visual loss after uncomplicated cataract surgery. The same surgical procedure was adopted in both eyes except for the use of intracameral vancomycin, which was injected only in the eye that developed HORV. Diffuse retinal ischemia with vascular sheathing and intraretinal hemorrhages were detected during the fourth postoperative day. Despite treatment, the patient developed severe neovascular glaucoma. This case supports the causative role of vancomycin in the pathogenesis of HORV and suggests avoiding it for chemoprophylaxis.

Original languageEnglish
Pages (from-to)764-766
Number of pages3
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume47
Issue number8
DOIs
Publication statusPublished - Aug 1 2016

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

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