Inadvertent intravitreal gentamicin injection.
PURPOSE: To describe the management and consequences of an accidental injection of gentamicin in the vitreous. METHODS: A retinal detachment developed in a 70-year-old male. During a vitrectomy operation, gentamicin (20mg) was accidentally injected in to the eye. The surgeon immediately began vigorous lavage of the vitreal cavity with balanced salt solution. RESULTS: No toxic signs appeared after the operation, despite the devastating consequences described in previous reports. CONCLUSIONS: The immediate vigorous lavage may have reduced the concentration of the toxic material and its consequences.
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