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Abstract #53031 Published in IGR 15-1
Nocardia brasiliensis endophthalmitis in a patient with an exposed Ahmed glaucoma drainage implant
Stewart MW; Bolling JP; Bendel REOcular Immunology and Inflammation 2013; 21: 54-55
PURPOSE: To report a case of endophthalmitis due to Nocardia brasiliensis in an eye with an exposed, infected Ahmed glaucoma drainage implant (GDI). DESIGN: Retrospective case report. METHODS: A patient with an exposed GDI experienced recurrent episodes of endophthalmitis despite repeated intravitreal injections of antibiotics and steroids. The tube was initially repositioned and finally removed. RESULTS: Whereas repeated cultures from the anterior chamber and vitreous were negative, cultures from the removed tube grew Nocardia brasiliensis. Despite oral trimethoprim-sulfamethoxazole and intravitreal amikacin the eye became phthisical and lost light perception. CONCLUSIONS: An exposed GDI may lead to endophthalmitis due to Nocardia brasiliensis and may require explantation to establish a diagnosis.
Department of Ophthalmology, Mayo School of Medicine, Jacksonville, FL 32224, USA. stewart.michael@mayo.edu
Full articleClassification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
