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Endophthalmitis after a glaucoma drainage implant is uncommon. In a case series of drainage implant-associated endophthalmitis, tube exposure was present in all cases. Among the organisms cultured from these eyes was Haemophilus influenzae. After the introduction of the H. influenzae type b vaccine, infections related to this bacterium dramatically decreased in children. We report a case of late-onset H. influenzae endophthalmitis in an immunized child after bilateral glaucoma drainage implants without evidence of conjunctival erosion or wound dehiscence.
Dr. S.E. Moroi, Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA. smoroi@umich.edu