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Abstract #6266 Published in IGR 2-2
Ultrasound biomicroscopic images of endophthalmitis after trabeculectomy
Yakuwa N; Katsushima H; Maruyama I; Kawata HFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2000; 51: 203-206
The authors report on ultrasound biomicroscopy (UBM) findings in a case of endophthalmitis after trabeculectomy. A 32-year-old female with developmental glaucoma underwent trabeculectomy in the left eye and four years later developed endophthalmitis. Marked conjunctival injection and a yellow ischemic bleb with a thin wall were seen, the anterior chamber contained cells and hypopyon, and the fundus was invisible due to dense vitreous opacity. UBM showed a visible intrascleral route, debris under the scleral flap that had the same reflectivity as the hypopyon, and a highly reflective bleb wall. After the inflammation had improved with systemic and focal antibiotic therapy, the authors noted on repeat UBM that the debris under the scleral flap and the reflectivity of the bleb wall had decreased. UBM was useful in assessing filtering function.
Dr. N. Yakuwa, Department of Ophthalmology, Sapporo Medical University School of Medicine, S1 W16 Chuo-ku, Sapporo 060-8543, Japan
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
