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Abstract #74273 Published in IGR 19-1

BLEB-RELATED ENDOPHTHALMITIS AFTER USE OF THE INVITRIA INJECTION GUIDE

Baneke AJ; Vakros G; Sharma V; Wong SC
Retinal cases & brief reports 2020; 14: 33-34

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PURPOSE: To present the case of a patient who developed bleb-related endophthalmitis after an intravitreal injection using the InVitria injection guide, alongside a review of the literature on bleb-related endophthalmitis. METHODS: Our case is presented in context of the current literature on bleb-related endophthalmitis. RESULTS: Bleb-related endophthalmitis occurs in up to 2% of eyes within 5 years of filtering glaucoma surgery. Risk factors include bleb leakage, use of anti-fibrinolytic agents, blepharitis, hypotony, and nasolacrimal duct obstruction. Our patient presented with a bleb leak and bleb-related endophthalmitis 2 weeks after an intravitreal injection using the InVitria injection guide. CONCLUSION: Injection guides can cause bleb trauma and resulting bleb leakage. They should be avoided in patients with filtering glaucoma surgery.

*Ophthalmology Department, The Royal Free Hospital, London, United Kingdom; and †Moorfields Eye Hospital, London, United Kingdom.

Full article

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Classification:

12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)

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