Structural and Functional Insight into Intracameral Cefuroxime Ocular Toxic Syndrome (ICOTS) in Eyes with Disrupted Intraocular Barrier

Intracameral cefuroxime ocular toxic syndrome may induce persistent retinal changes despite fluid resolution in eyes with a disrupted intraocular barrier due to prior vitrectomy. Early OCT assessment can help to identify this condition. Further investigation, incorporating UWF-OCTA and ERG for a comprehensive assessment of ICOTS, along with revised informed consent protocols for patients undergoing cataract surgery with this antibiotic prophylaxis, may be indicated when risk factors are identified.

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Publication Details

Journal
Ophthalmology and Therapy
Published
2025-04-16
DOI
https://doi.org/10.1007/s40123-025-01137-8
Citations
6
Primary Topic
Ocular Infections and Treatments
Type
article
Field-Weighted Citation Impact
10.24
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OCT
article

Structural and Functional Insight into Intracameral Cefuroxime Ocular Toxic Syndrome (ICOTS) in Eyes with Disrupted Intraocular Barrier

Marco Pileri, Fabian D’Apolito, Massimo Cesareo, Francesco Martelli et al.
6 citations
Ophthalmology and Therapy
Ocular Infections and Treatments
10.24
article

Structural and Functional Insight into Intracameral Cefuroxime Ocular Toxic Syndrome (ICOTS) in Eyes with Disrupted Intraocular Barrier

Marco Pileri, Fabian D’Apolito, Massimo Cesareo, Francesco Martelli, Andrea Cusumano, Marco Lombardo, Michele D’Ambrosio, Benedetto Falsini
article en
6 citations

Abstract

Intracameral cefuroxime ocular toxic syndrome may induce persistent retinal changes despite fluid resolution in eyes with a disrupted intraocular barrier due to prior vitrectomy. Early OCT assessment can help to identify this condition. Further investigation, incorporating UWF-OCTA and ERG for a comprehensive assessment of ICOTS, along with revised informed consent protocols for patients undergoing cataract surgery with this antibiotic prophylaxis, may be indicated when risk factors are identified.

Ophthalmology and TherapyVol. 14(6)
University of Rome Tor Vergata (IT), Azienda Ospedaliera San Giovanni Addolorata (IT), National Institute of Health (AM), New York Genome Center (US), University of Macerata (IT)
Openalex Percentile: Top 2%
Ocular Infections and Treatments
10.24
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Structural and Functional Insight into Intracameral Cefuroxime Ocular Toxic Syndrome (ICOTS) in Eyes with Disrupted Intraocular Barrier — Marco Pileri, Fabian D’Apolito, et al. · Ophthalmology and Therapy (2025) | TGRS Research Map | TGRS