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Abstract #8639 Published in IGR 5-1
Late-onset bacteria endophthalmitis following glaucoma drainage implantation
Francis BA; DiLoreto DA Jr; Chong LP; Rao NOphthalmic Surgery Lasers and Imaging 2003; 34: 128-130
A clinicopathological report of late-onset bacterial endophthalmitis four years after implantation of a Baerveldt drainage implant is described. An 80-year-old woman with glaucoma presented eight years after tube shunt implantation with clinical endophthalmitis. During surgical removal of the implant, a small conjunctival buttonhole caused by the suture securing the plate to the sclera was noted to be the only entry site. Vitreous and anterior chamber taps were performed with intravitreal antibiotics. Cultures revealed Streptococcus pneumoniae infection. The pathologic analysis showed epithelialization of the conjunctival button-hole and diffuse ocular inflammation, mucopurulent material, and fibrovascular membranes. Due to severe pain, the eye was enudeated after one week.
Dr. B.A. Francis, Doheny Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
Classification:
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)
