Late-Onset Endophthalmitis Associated with Glaucoma Surgery
Journal of the Korean Ophthalmological Society
;
: 1651-1658, 2014.
Article
in Korean
| WPRIM
| ID: wpr-41563
ABSTRACT
PURPOSE:
To report cases of late-onset endophthalmitis associated with glaucoma surgery.METHODS:
We retrospectively reviewed the medical records of 4905 consecutive patients who underwent glaucoma surgery (trabeculectomy or valve implant surgery) from January 1, 1988 to March 31, 2013.RESULTS:
There were a total of 14 late-onset endophthalmitis (0.29%) cases associated with glaucoma surgery occurring at 1 year to 21 years postoperatively. Six cases (6/993, 0.60%) occurred after valve implantation and the other 8 cases (8/3912, 0.20%) occurred after trabeculectomy (p = 0.046). All but one patient were injected with fortified vancomycin and ceftazidim. Four patients also received a vitrectomy with the injection. The implanted valve was removed in 2 cases. In four cases, organisms were found in the culture (staphylococcus.aureus, streptococcus viridians, propionibacterium acnes and candida parapsilosis). After 1 year, only 4 patients achieved a visual acuity above 4/200 compared with other patients who had a final visual acuity of hand motion or worse. Three patients (33%) who developed endophthalmitis underwent other intraocular procedures.CONCLUSIONS:
Late-onset endophthalmitis associated with glaucoma surgery can often occur with fulminant sight-threatening complications. Due to devastating sequelae, the surgeon should carefully check the surgery site in the patients who underwent glaucoma surgery at every follow-up visit. Delayed endophthalmitis after glaucoma surgery still carries a poor visual prognosis and its onset is difficult to predict. Therefore, patients who undergo glaucoma surgery should be educated and carefully evaluated during regular follow-ups.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Propionibacterium acnes
/
Streptococcus
/
Vitrectomy
/
Candida
/
Trabeculectomy
/
Vancomycin
/
Visual Acuity
/
Glaucoma
/
Medical Records
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2014
Type:
Article
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