Subretinal abscess

Pittenger, Brook; Young, Jonathan W.; Mansoor, André M.

doi:10.1136/bcr-2017-219607

Cited by 4 publications

(3 citation statements)

References 3 publications

(6 reference statements)

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“…A further case report revealed an abscess approximately 10 disc diameters in size with associated intraretinal hemorrhage that progressively decreased in size after IV vancomycin and intravitreal injections of vancomycin and ceftazidime. 13 There is no clear consensus regarding the treatment of subretinal abscesses, and management is generally individualized for the patient's presentation. 5 Commonly used first-line treatment options for bacterial subretinal abscess include systemic antibiotics with intravitreal antibiotic injections.…”

Section: Discussionmentioning

confidence: 99%

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Sub-tenon’s vancomycin injection for subretinal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis: a case report and literature review.

Rowe

McVeigh

Hajrasouliha

2023

RETINAL Cases &Amp; Brief Reports

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To report the use of a subtenon's vancomycin injection for the treatment of subretinal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis.Methods: A 17-year-old man developed endogenous endophthalmitis with subretinal abscess in his right eye secondary to methicillin-resistant Staphylococcus aureus bacteremia from axillary necrotizing fasciitis. Despite prompt treatment with IV vancomycin and an intravitreal vancomycin injection, the patient displayed minimal improvement. The patient was subsequently treated with a subtenon's vancomycin injection. The injection technique is described in detail, as well as a review of the treatment options available for bacterial subretinal abscesses.Results: On presentation, examination revealed minimal vitritis and a large yellow subretinal abscess superotemporally extending close to the macula with subretinal fluid inferotemporally involving the macula. Four days postintravitreal vancomycin injection, the abscess remained stable and the patient developed an exudative detachment temporally. Vancomycin was injected superotemporally in the subtenon's space with no complications during the procedure or during his postoperative recovery. At seven days postinjection, the subretinal abscess and exudative retinal detachment resolved completely with necrosis at the area of previous abscess. Conclusion:We present the first successful case of subtenon's vancomycin injection for the treatment of bacterial subretinal abscess. Our case demonstrates that subtenon's injection of antibiotics is a safe and effective nonsurgical management option for bacterial subretinal abscesses.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sub-tenon’s vancomycin injection for subretinal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis: a case report and literature review.

Rowe

McVeigh

Hajrasouliha

2023

RETINAL Cases &Amp; Brief Reports

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“…Only 4 publications involving 14 eyes of 10 patients with MRSA SRA have been reported in the literature. [7][8][9][10] In this article, we report a case of communityassociated MRSA SRA as a manifestation of EE in a well-controlled diabetic patient who required surgical drainage because of the failure of systemic and intravitreal antibiotics.…”

mentioning

confidence: 99%

Community-Associated Methicillin-Resistant Staphylococcus Aureus Subretinal Abscess in a Nonbacteremic Patient Treated With Internal Drainage and Retinectomy

Yang

Kishore

2021

RETINAL Cases &Amp; Brief Reports

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Purpose: To report a case of community-associated methicillin-resistant Staphylococcus aureus subretinal abscess that continued to progress, despite intravitreal and systemic antibiotic therapy.Methods: Retrospective chart review of a 77-year-old female patient with well-controlled diabetes mellitus who developed a left eye endophthalmitis and subretinal abscess from methicillin-resistant S. aureus colonization in the absence of any systemic focus of infection.Results: The abscess and endophthalmitis resolved after the second pars plana vitrectomy that included drainage of a subretinal abscess after the failure of initial pars plana vitrectomy, and intravitreal and systemic antibiotics. Retinal detachment due to proliferative vitreoretinopathy necessitated the third pars plana vitrectomy 2 weeks after the second pars plana vitrectomy. Conclusion:The authors present an unusual case of methicillin-resistant S. aureus subretinal abscess in a patient with methicillin-resistant S. aureus colonization with negative blood, aqueous humor culture, and vitreous culture but a positive culture from subretinal aspirate.

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Bilateral sequential choroidal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis

Carrell

Baker

2020

Canadian Journal of Ophthalmology

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Subretinal abscess

Cited by 4 publications

References 3 publications

Sub-tenon’s vancomycin injection for subretinal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis: a case report and literature review.

Sub-tenon’s vancomycin injection for subretinal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis: a case report and literature review.

Community-Associated Methicillin-Resistant Staphylococcus Aureus Subretinal Abscess in a Nonbacteremic Patient Treated With Internal Drainage and Retinectomy

Bilateral sequential choroidal abscess secondary to methicillin-resistant Staphylococcus aureus endogenous endophthalmitis

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