Vitrectomy for accidental intraocular steroid injection

Retina. 1995;15(4):295-9. doi: 10.1097/00006982-199515040-00005.


Background: Accidental perforation of the globe and intraocular injection of steroid is a potential complication of periocular injections. Final outcomes in eyes in which this complication has occurred have been reported to be unsatisfactory in the past. However, the advent of vitrectomy has altered their prognosis significantly.

Methods: A retrospective analysis was done of five cases of accidental intraocular steroid injection, treated by vitrectomy. Additional procedures involved treatment of retinal breaks (where required) with endolaser or transscleral cryopexy. Scleral buckling was done in one case.

Results: Barring one case in which retinal detachment developed, there were no postoperative complications. At last follow up all patients had satisfactory recovery of visual acuity; had attached retina; and quiet anterior chamber and vitreous cavities.

Conclusion: Vitrectomy is associated with satisfactory results in cases of accidental intraocular steroid injection. Delay up to a few days does not seem to materially influence the outcome.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Anti-Inflammatory Agents / adverse effects*
  • Cryosurgery
  • Eye Injuries, Penetrating / etiology
  • Eye Injuries, Penetrating / surgery*
  • Female
  • Humans
  • Hydrocortisone / adverse effects
  • Injections / adverse effects
  • Laser Therapy
  • Male
  • Methylprednisolone / adverse effects
  • Middle Aged
  • Needlestick Injuries / etiology
  • Needlestick Injuries / surgery*
  • Ophthalmic Solutions
  • Orbit / injuries
  • Retinal Detachment / etiology
  • Retinal Detachment / surgery*
  • Retinal Perforations / etiology
  • Retinal Perforations / surgery*
  • Retrospective Studies
  • Scleral Buckling
  • Visual Acuity
  • Vitrectomy*


  • Anti-Inflammatory Agents
  • Ophthalmic Solutions
  • Hydrocortisone
  • Methylprednisolone