Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut RodanantDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok, ThailandPurpose: To report crystal formation as a complication of intravitreal ganciclovir injection.Patients and methods: A 73-year-old female patient with unilateral...

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Autores principales: Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant
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Publicado: Dove Medical Press 2010
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spelling oai:doaj.org-article:8e813464a6b14a87a3173e1a9b475e8f2021-12-02T07:31:38ZCrystallization after intravitreal ganciclovir injection1177-54671177-5483https://doaj.org/article/8e813464a6b14a87a3173e1a9b475e8f2010-07-01T00:00:00Zhttp://www.dovepress.com/crystallization-after-intravitreal-ganciclovir-injection-a4847https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Pitipol Choopong, Nattaporn Tesavibul, Nattawut RodanantDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok, ThailandPurpose: To report crystal formation as a complication of intravitreal ganciclovir injection.Patients and methods: A 73-year-old female patient with unilateral cytomegalovirus retinitis was treated with intravitreous ganciclovir (4 mg/0.04 mL).Results: After the intravitreal injection, sudden crystallization was observed in the vitreous. The patient experienced marked reduction in visual acuity and increased intraocular pressure. Despite aqueous paracenthesis and pars plana vitrectomy, optic atrophy was observed and her visual acuity remained unimproved after 12 months.Conclusion: Crystal formation can occur as a complication of intravitreal ganciclovir injection. Associated retinal and optic nerve damage was found which results in permanent visual morbidity.Keywords: ganciclovir, intravitreal injection, intraocular, CMV, toxicity Pitipol ChoopongNattaporn TesavibulNattawut RodanantDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 709-711 (2010)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Pitipol Choopong
Nattaporn Tesavibul
Nattawut Rodanant
Crystallization after intravitreal ganciclovir injection
description Pitipol Choopong, Nattaporn Tesavibul, Nattawut RodanantDepartment of Ophthalmology, Siriraj Hospital, Mahidol University, Bangkok, ThailandPurpose: To report crystal formation as a complication of intravitreal ganciclovir injection.Patients and methods: A 73-year-old female patient with unilateral cytomegalovirus retinitis was treated with intravitreous ganciclovir (4 mg/0.04 mL).Results: After the intravitreal injection, sudden crystallization was observed in the vitreous. The patient experienced marked reduction in visual acuity and increased intraocular pressure. Despite aqueous paracenthesis and pars plana vitrectomy, optic atrophy was observed and her visual acuity remained unimproved after 12 months.Conclusion: Crystal formation can occur as a complication of intravitreal ganciclovir injection. Associated retinal and optic nerve damage was found which results in permanent visual morbidity.Keywords: ganciclovir, intravitreal injection, intraocular, CMV, toxicity
format article
author Pitipol Choopong
Nattaporn Tesavibul
Nattawut Rodanant
author_facet Pitipol Choopong
Nattaporn Tesavibul
Nattawut Rodanant
author_sort Pitipol Choopong
title Crystallization after intravitreal ganciclovir injection
title_short Crystallization after intravitreal ganciclovir injection
title_full Crystallization after intravitreal ganciclovir injection
title_fullStr Crystallization after intravitreal ganciclovir injection
title_full_unstemmed Crystallization after intravitreal ganciclovir injection
title_sort crystallization after intravitreal ganciclovir injection
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/8e813464a6b14a87a3173e1a9b475e8f
work_keys_str_mv AT pitipolchoopong crystallizationafterintravitrealganciclovirinjection
AT nattaporntesavibul crystallizationafterintravitrealganciclovirinjection
AT nattawutrodanant crystallizationafterintravitrealganciclovirinjection
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