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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 409-411

Intravitreal clindamycin-induced macular infarct in a case of ocular toxoplasmosis

1 Department of Ophthalmology, Isha Netralaya, Kalyan, Maharashtra, Isha Netralaya, Maharashtra, India
2 Department of Optometry, Isha Netralaya, Kalyan, Maharashtra, Isha Netralaya, Maharashtra, India

Correspondence Address:
Onkar H Pirdankar
Isha Netralaya, Radhakrishna Sankul, Opp. Holy Cross Hospital, Karnik Road, Kalyan - 421 301, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_3075_22

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Intravitreal clindamycin is one the modalities in managing ocular toxoplasmosis. Here we report clindamycin-induced macular infarct followed by full thickness macular hole with epiretinal membrane and macular atrophy. A 54-year-old male diagnosed with ocular toxoplasmosis in the right eye was treated with intravitreal injection of clindamycin and dexamethasone. Patient developed macular infarction with epiretinal membrane (ERM) and full thickness hole, with corresponding decrease in visual acuity and was managed with vitrectomy. Clindamycin injection has potential to cause retinal complications, and hence, one needs to be extremely cautious while preparing the proper concentration of clindamycin as it requires appropriate dilution.

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