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Abstract #23031 Published in IGR 11-1
Blebitis and endophthalmitis associated with glaucoma thin-walled blebs
Zhou L-B; Li J; Wu C-FInternational Journal of Ophthalmology 2008; 8: 2508-2509
AIM: To evaluate the risk factors, clinical characteristics and the treatment methods of blebitis and endophthalmitis after glaucoma extra-filtering surgery. METHODS: The medical records of all patients with blebitis and endophthalmitis after glaucoma extra-filtering surgery treated at our hospital affiliated to Panzhihua University from June 2000 to December 2007 were reviewed retrospectively. RESULTS: Ten patients were collected, including seven of blebitis, three of endophthalmitis. All case had a thin-walled bleb. Mitomycin C was used for every patient. Conjunctival and vitreous cultures were performed in all blebitis and endophthalmitis. There were four cultures with staphylococcus epidermidis, one with staphylococcus aureus. After the treatments of topical antibitics and surgery, the status of thin-wall was improved, visual acuity was increased and IOP was well controlled. All patients had a good outcome. CONCLUSION: The use of Mitomycin C is the important reason of the thin-walled blebs, and the thin-walled blebs are susceptible to infection. With the correct treatment, we will get good outcome. LA: Chinese
Dr. L.-B. Zhou, Department of Ophthalmology, Hospital of Panzhihua University, Panzhihua 617000 Sichuan Province, China. zlblqh@126.com
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)