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Use of vancomycin in vitrectomy infusion solution and evaluation of retinal toxicity

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Abstract

The retinal toxicity of vancomycin in infusion solution used in vitrectomy and lensectomy was investigated in rabbit eyes by means of electroretinography and histologie study (light microscopy). Concentrations of 8μg/ ml, 16μg/ml, and 32μg/ml of vancomycin in balanced salt solution caused no abnormal ERG or histologic changes. However, ERG amplitude depression and abnormal histologie changes occurred when the concentration of 100μg/ml of vancomycin was used.

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References

  1. Baum JL. Antibiotic use in ophthalmology. In: Duane TD (ed) ‘Clinical Ophthalmology’. Vol IV. JB Lippincott Co, Philadelphia, 1990; chapter 26.

    Google Scholar 

  2. Forster RK. Endophthalmitis. In: Duane TD (ed) ‘Clinical Ophthalmology’. Volume IV. JB Lippincott Co, Philadelphia, 1987; chapter 25.

    Google Scholar 

  3. Heilskov T, Joondeph BC, Olsen KR, Blankenship GW. Late endophthalmitis after transscleral fixation of posterior chamber intraocular lens. Arch Ophthalmol 1989; 107: 1427.

    PubMed  Google Scholar 

  4. Hemady R, Zaltas M, Paton B, Foster CS, Baker AS.Bacil us-induced endophthalmitis: New series of 10 cases and review of literature. Br J Ophthalmol 1990; 74: 26–9.

    PubMed  Google Scholar 

  5. Homer P, Peyman GA, Koziol J, Sanders DR. Intravitreal injection of vancomycin in experimental staphylococcal endophthalmitis. Acta Ophthalmol 1975; 53: 311–20.

    Google Scholar 

  6. Lai VL, Rana MW. Folding of photoreceptor cell layer: A new form of retinal lesion in rat. Invest Ophthalmol Vis Sci 1985; 26: 771–4.

    PubMed  Google Scholar 

  7. Noerr B. Vancomycin. Neonatal Network 1991; 10: 83–5.

    PubMed  Google Scholar 

  8. Oum BS, D'Amico DJ, Kwak HW, Wong KW. Intravitreal antibiotic therapy with vancomycin and aminoglycoside: Examination of the retinal toxicity of repetitive injections after vitreous and lens surgery. Graefes Arch Clin Exp Ophthalmol 1992; 230: 56–61.

    PubMed  Google Scholar 

  9. Oum BS, D'Amico DJ, Wong KW. Intravitreal antibiotic therapy with vancomycin and aminoglycoside: An experimental study of combination and repetitive injections. Arch Ophthalmol 1989; 107: 1055–80.

    PubMed  Google Scholar 

  10. Peyman GA, Carroll CP, Raichand M. Prevention and management of traumatic endopthalmitis. Ophthalmology 1980; 87: 320–4.

    PubMed  Google Scholar 

  11. Peyman GA, Schulman JA. Intravitreal drug therapy. Jpn J Ophthalmol 1989; 33: 392–404.

    PubMed  Google Scholar 

  12. Pflugfelder SC, Hernandez E, Fliesler SJ, Alvarez J, Pflugfelder ME, Forster RK. Intravitreal vancomycin: Retinal toxicity, clearance, and interaction with gentamicin. Arch Ophthalmol 1987; 105: 831–7.

    PubMed  Google Scholar 

  13. Sande MA, Mandell GL. Antimicrobial agents. In: Gilman AG, Goodman LS, Rall TW, Murad F (eds) ‘The Pharmacological Basis of Therapeutics’. Seventh Edition. Macmillan, New York, pp 1192–1193, 1985.

    Google Scholar 

  14. Steineman TL, Kaufman HE, Beuerman RW, Varnell ED, Thompson HW, Aldridge KE. Vancomycin-enriched corneal storage medium. Am J Ophthalmol 1992; 113: 555–60.

    PubMed  Google Scholar 

  15. Wilhelm MP. Vancomycin. Mayo Clin Proc 1991; 66: 1165–70.

    PubMed  Google Scholar 

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Supported in part by U.S. Public Health Service grants EY07541 and EY02377 from the National Eye Institute, National Institutes of Health, Bethesda, MD.

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Borhani, H., Peyman, G.A. & Wafapoor, H. Use of vancomycin in vitrectomy infusion solution and evaluation of retinal toxicity. Int Ophthalmol 17, 85–88 (1993). https://doi.org/10.1007/BF00942780

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  • DOI: https://doi.org/10.1007/BF00942780

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