Physical Incompatibility between Vancomycin and Viscoelastic Mimicking Acute Endophthalmitis: The First Report
Joint Authors
Kuzmanović Elabjer, Biljana
Šarić, Dean
Bušić, Mladen
Bjeloš, Mirjana
Pleše, Andrej
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-04
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
This is the first documentation of vancomycin precipitation with viscoelastic in the anterior chamber of the eye.
A 34-year-old white male underwent uneventful penetrating keratoplasty.
Intracameral instillation of 1 mg/0.1 mL of vancomycin followed no attempts of meticulous viscoelastic irrigation.
Six hours later thick white material in the anterior chamber was sedimented.
The following criteria excluded the diagnosis of endophthalmitis and TASS: clear and transparent anterior chamber and vitreous body, the absence of ciliary injection and corneal oedema, and unremarkable laboratory tests’ results.
This iatrogenic complication mimicking endophthalmitis does not require any specific management and should be acknowledged in guidelines for prevention and treatment of endophthalmitis.
The objective of this paper is to alert colleagues to this iatrogenic complication of vancomycin mimicking endophthalmitis.
Whether this condition should be labelled as positive or negative demands further investigation.
As vancomycin is a time-dependent antibiotic, it is possible that this precipitate could serve as a slowly releasing drug depot and viscoelastic as a vehicle for precipitation.
This being the case, investigation is needed to analyse its potential to precipitate with another dispersive and cohesive viscoelasticity.
American Psychological Association (APA)
Kuzmanović Elabjer, Biljana& Šarić, Dean& Bušić, Mladen& Bjeloš, Mirjana& Pleše, Andrej. 2019. Physical Incompatibility between Vancomycin and Viscoelastic Mimicking Acute Endophthalmitis: The First Report. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1142342
Modern Language Association (MLA)
Kuzmanović Elabjer, Biljana…[et al.]. Physical Incompatibility between Vancomycin and Viscoelastic Mimicking Acute Endophthalmitis: The First Report. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1142342
American Medical Association (AMA)
Kuzmanović Elabjer, Biljana& Šarić, Dean& Bušić, Mladen& Bjeloš, Mirjana& Pleše, Andrej. Physical Incompatibility between Vancomycin and Viscoelastic Mimicking Acute Endophthalmitis: The First Report. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1142342
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142342