Recurrent Achilles tendinitis after ophthalmic ofloxacin use

Abstract

A 67-year-old woman developed recurrent fluoroquinolone-induced Achilles tendinitis after using topical ofloxacin for delayed sequential bilateral cataract surgeries, 2 weeks apart. Within days of the first surgery, she noted onset of left foot pain. Clinical examination and magnetic resonance imaging ultimately confirmed recurrence of left Achilles tendinitis. Her first episode of Achilles tendinitis occurred 13 years prior, after oral ciprofloxacin use for acute appendicitis. To our knowledge, this is the second report of topical ophthalmic-induced fluoroquinolone tendinopathy.