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Eric D. Kanter, MD; Alexander J. Brucker, MD
Philadelphia, Pa

Arch Ophthalmol. 1995;113(11):1359-1360.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Presoaked collagen corneal shields are used as a means for the delivery of antibiotics to the corneal epithelium and stroma and the anterior chamber. We report a case of macular infarction that occurred in a patient after the placement of a gentamicin sulfate-impregnated collagen corneal shield following cataract surgery.

Report of a Case.

An 80-year-old man underwent extracapsular cataract extraction with phacoemulsification of the lens nucleus and implantation of a posterior chamber intraocular lens in the left eye. Preoperative visual acuity was 6/120 OS. Clinical evaluation demonstrated a visually significant cataract and mild atrophic retinal pigment epithelial changes. Visual acuity in the fellow eye was 6/12 with similar retinal pigment epithelial changes noted. A 5-mL peribulbar injection was performed with a 1.6-cm 27-gauge needle using equal amounts of 1% lidocaine hydrochloride (without epinephrine) and 0.5% bupivacaine hydrochloride and 0.5 mL (75 U) of hyaluronidase. Light digital massage of the globe . . . [Full Text PDF of this Article]

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