Potentially blinding complication following intraocular injections of compounded vancomycin formulation - Drug Information Update

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A Case of Hemorrhagic Occlusive Retinal Vasculitis (HORV) Following Intraocular Injections of a Compounded Triamcinolone, Moxifloxacin, and Vancomycin Formulation Hemorrhagic occlusive retinal vasculitis (HORV) is a rare, potentially blinding postoperative complication that has been observed in dozens of patients who have received intraocular injections of vancomycin (anti-infective) formulations toward the end of otherwise uncomplicated cataract surgeries. FDA’s has posted a Compounding Risk Alert about a case of HORV following injections of a compounded triamcinolone (steroid), moxifloxacin (anti-infective), and vancomycin formulation. FDA’s Compounding Risk Alerts page alerts health care professionals of adverse event reports related to compounded drugs. Providing this information to health care professionals should further FDA’s goal of protecting patients from unsafe, ineffective, and poor quality compounded drugs. FDA encourages health care professionals to report adverse events and product quality defects associated with compounded drugs to FDA’s MedWatch Adverse Event Reporting program:  Complete and submit the report online at www.fda.gov/medwatch/report.htm; or Download and complete the form, then submit it via fax at 1-800-FDA-0178