When Mrs. F returned, Dr. M chatted amicably with her as he took out a vial of clindamycin, and withdrew 0.1 cc into a syringe. He administered the injection into her left eye. It was a procedure he had performed several times in the past, although not for quite some time. His previous patients had not experienced any problems, however, Mrs. F began complaining that she couldn’t see out of her left eye almost immediately after the injection. Based on the patient’s complaints, Dr. M did not proceed with the second eye, but instead took immediate steps to try to determine the cause of Mrs. F’s vision loss. However, he was unable to figure out the cause, or to correct the situation. Eight hours later, at the medical center with which his practice was affiliated, Dr. M performed an emergency pars plana vitrectomy of the patient’s left eye due to the vision loss.

Mrs. F returned home that night, but came back to see Dr. M the next day with complaints of mild pain in her left eye. Dr. M examined her and noted that the pain was not associated with other signs or symptoms. However, upon giving the patient a visual test, Dr. M noted that she was able to finger count only at 2 feet or less. “I’m hopeful you’ll see gradual improvement in the next day or two,” the physician told his patient.

Unfortunately, that wasn’t the case. Four days later, Mrs. F was back in the doctor’s office, this time complaining of blurry vision. Upon examination of the left eye, the physician determined that the patient was now no longer able to count fingers and could only see hand motions.


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