Cefuroxime-Induced Toxic Maculopathy after Intracameral Injection of Standard Dose: A Case Report.

IF 0.6 Q4 OPHTHALMOLOGY
Case Reports in Ophthalmology Pub Date : 2025-01-28 eCollection Date: 2025-01-01 DOI:10.1159/000543837
Maria E Pantelidou, Stylianos Bebis, Elias P Pantelidis, Tryfon Rotsos
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引用次数: 0

Abstract

Introduction: Cefuroxime-induced toxic maculopathy can occur when an incorrect or correct dilution is injected intracamerally during cataract surgery.

Case report: An 83-year-old male developed toxic maculopathy on the first postoperative day after uneventful cataract surgery. An investigation of the case confirmed that the patient developed sporadic toxic maculopathy after a standard intracameral cefuroxime dose. The patient showed complete recovery of vision during the first postoperative week.

Conclusion: Cefuroxime-induced toxic maculopathy may occur sporadically and have a good visual outcome. It may be distinguished from toxic maculopathy induced by incorrect dilution based on its different clinical appearance and, in some cases, the guarded outcome. Correct dilution of cefuroxime is of utmost importance.

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标准剂量头孢呋辛腹腔注射致中毒性黄斑病变1例。
导论:在白内障手术中,当不正确或正确的稀释剂注入眼内时,可发生头孢呋辛引起的中毒性黄斑病变。病例报告:一例83岁男性白内障手术后第一天出现中毒性黄斑病变。对该病例的调查证实,在给予标准头孢呋辛内窥镜剂量后,患者出现了散发性中毒性黄斑病变。术后第一周患者视力完全恢复。结论:头孢呋辛致中毒性黄斑病变是偶发性的,具有良好的视觉效果。根据其不同的临床表现,在某些情况下,可将其与不正确稀释引起的中毒性黄斑病变区分开来。头孢呋辛的正确稀释至关重要。
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
129
审稿时长
12 weeks
期刊介绍: This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.
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