Evaluation of toxicity of intravitreal ceftazidime, vancomycin, and ganciclovir in a silicone oil-filled eye.

Hegazy, H M; Kivilcim, M; Peyman, G A; Unal, M H; Liang, C; Molinari, L C; Kazi, A A · Retina · 1999

basic_science · Level V

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Abstract

To evaluate the toxicity of intravitreal drugs in an eye filled with silicone oil for prolonged internal retinal tamponade. Vitrectomy was performed in 21 rabbit eyes, and the vitreous was replaced with silicone oil. Different concentrations of various drugs (ceftazidime, vancomycin, and ganciclovir) were injected intravitreally. Silicone oil increased the toxicity of these drugs, which were injected in previously determined nontoxic doses, possibly because of a reduction of the preretinal space. Injecting one quarter of the known nontoxic dose failed to show any toxicity. Nontoxic concentrations of intravitreal drugs can cause toxicity in a silicone-filled eye.

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