|
مقاله
|
Abstract
|
|
|
|
Title:
|
Infectious Scleritis after Subtenon Triamcinolone Acetonide Injection
|
|
Author(s):
|
Hamid Gharaee ; Mojtaba Abrishami ; Setare Sagheb-Hoseinpor
|
|
Presentation Type:
|
Poster
|
|
Subject:
|
Posterior Segment and Uveitis
|
|
Others:
|
|
|
Presenting Author:
|
|
|
Name:
|
Mojtaba Abrishami
|
|
Affiliation :(optional)
|
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran ; Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
|
|
E mail:
|
mojtaba_abrishami@yahoo.com
|
|
Phone:
|
02155400003
|
|
Mobile:
|
09129377278
|
|
|
|
|
Purpose:
|
To report a case of Staphylococcus epidermidis infection after subtenon injection (STI) of triamcinolone acetonide (TA).
|
|
Methods:
|
In an interventional ccase report, a 20-year old patient with corneal graft rejection received STI of TA after insufficient response to topical and oral corticosteroids.
|
|
Results:
|
After conjunctival necrosis, necrotizing scleritis progressed although topical and systemic steroids were discontinued. Systemic Ciprofloxacin, topical fortified Amikacin, and Vancomycine drops were used. Complete recovery was obtained after 3 weeks. Smears and cultures showed Staphylococcus epidermidis infection.
|
|
Conclusion:
|
We conclude that although uncommon, infectious scleritis can occur following uncomplicated subconjunctival corticosteroid injections. Infectious scleritis can be very difficult to diagnose as it may mimic an immune mediated disease. If the conjunctiva is suspected to be involved, a swab should always be taken. Prevention by sterilizing the injection site (prep and drape) and strong antibiotic prophylaxis are recommended to reduce the risk of the infectious scleritis.
|
|
Attachment:
|
4125STI TA.pptx
|
|