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. 2016 Dec 18;31(1):51–54. doi: 10.1016/j.sjopt.2016.12.003

Table 1.

Reported cases of endophthalmitis following intravitreal dexamethasone implant injection.

Authors, Year published Age (years), Sex, Indication Time of presentation Clinical features Management Organism isolated Final outcome
Marchino T, et al., 20133 74, F, CRVO 2 days Pain, redness, DOV, PL+, hypopyon, grade 4 vitreous opacity IVAB, followed by PPV + implant removal (“Vitreotome tip”) Alloiococcus otitidis CF 30 cm, macular fibrosis
Arıkan Yorgun M, et al., 20144 58, M, BRVO 2 days Painful DOV, HM, hypopyon, no red reflex PPV + implant removal (forceps) + IVAB, repeat PPV after 2 days Negative 3/60
Esen E, et al., 2015 Case 15 68, F, DME 3 days Pain, redness, DOV, HM, 4 + AC cells, poor red reflex IVAB, repeated after 3 days Negative 6/60
Esen E, et al., 2015 Case 25 63, F, BRVO 3 days Pain, redness, DOV, HM, 4 + AC cells, vitreous inflammation IVAB, repeated after 3 days Negative 6/36
Current case 70, M, DME 12 days DOV, no pain, CF close to face, no hypopyon, grade 3 vitreous opacity, fragmented implant IVAB, followed by PPV + implant removal (forceps/cutter) Coagulase negative Staphylococcus 6/18

M - male, F - female, CRVO - central retinal vein occlusion, BRVO - branch retinal vein occlusion, DME - diabetic macular edema, DOV - diminution of vision, PL - perception of light, HM - hand motions, CF - counting fingers, AC - anterior chamber, IVAB - intravitreal antibiotics, PPV - pars plana vitrectomy.