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Abstract #18279 Published in IGR 3-3
Late-onset bleb related panophthalmitis with orbital abscess caused by Pseudomonas stutzeri
Lebowitz D; Gurses-Ozden R; Rothman RF; Liebmann JM; Tello C; Ritch RArchives of Ophthalmology 2001; 119: 1723-1724
This is a report of a 69 years old man with posterior chamber pseudophakia and a failed trabeculectomy in his right eye. There was an avascular thin walled filtering bleb in his left eye. He went to his local ophthalmologist because of a left eye infection. Seven years before he had had a trabeculectomy in the left eye with 5FU. The patient received topical antibiotic drops. Three weeks later he was referred to a glaucoma specialist. The left eye had severe proptosis and absence of light perception. There was extensive chemosis and edema. Eye movements were severely restricted. The filtering bleb had pronounced purulence. There was extensive fibrin and hypopyon in the anterior chamber. The posterior chamber and posterior segment could not be visualized. CT-scans showed proptosis of the left eye and a significant periorbital as well as retrobulbar abscess. The left eye was enucleated. This was combined with drainage of the orbital abscess. Histopathological examination revealed acute bacterial endophthalmitis with vitreous abscess, end stage glaucoma and Pseudomonas stutzeri was cultured. Endophthalmitis occurs when the intraocular infection extends into and involves the sclera. The orbital abscess is a rare complication. LA: English
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
