Isolated sixth nerve palsy after intravitreal bevacizumab injection

Abstract

Purpose: To report a case of sixth nerve palsy after intravitreal bevacuzimab injection.

Methods: After intravitreal bevacizumab injection in a 64-year-old man, the patient admitted to our clinic with the complaint of diplopia. A complete ophthalmologic examination was done to clear the symptomatology of patient.

Results: Examination of ductions revealed marked limitation of abduction of the right eye and full ductions of the left eye, consistent with right lateral rectus paralysis.

Conclusions: Although intravitreal bevacizumab injections are generally well tolerated, it is possible that some serious systemic adverse events may occur. For this reason, patients must be closely monitored following these injections.