Macular Infarction following Intravitreal Clindamycin Injection : A Case Report

To report a case of Toxoplasma retinochoroiditis that was complicated by macular infarction following intravitreal clindamycin injection.

A 32-year-old otherwise healthy woman with the diagnosis of reactivation of Toxoplasma retinochoroiditis in her right eye, underwent intravitreal clindamycin injection. Shortly after injection, the visual acuity deteriorated, and the fundus examination revealed an extensive area of macular necrosis accompanied by vascular occlusion.

The patient was observed. Unfortunately, the condition did not improve over time and resulted in a large area of retinal atrophy.

Macular infarction should be considered a rare but disastrous complication that can result in severe, irreversible visual loss.