This 68YO male presented with symptomatic floaters 10 days following uneventful ‘no-drop’ cataract surgery with Trimoxi.
Optos color RGB imaging shows clumps of white triamcinolone suspended in the inferior vitreous.
Learning Points:
Our practice, along with many others, offers ‘no drop’ cataract surgery as a convenience to our patients. Instead of needing to take postoperative antibiotic and steroid drops, 0.2cc of Trimoxi (triamcinolone acetate 15mg/cc with moxifloxacin 1mg/cc) is injected into the anterior inferior vitreous at the end of the cataract surgery.
Although this liquid usually remains well outside the visual axis, patients will often experience mild floaters perioperatively. Rarely, as in this patient, the liquid disperses throughout the vitreous, causing significant transient floaters.
