Purchase this article with an account.
Saba Alreshaid, J. Fernando Arevalo, Sulaiman Al Sulaiman, jluwi almasaud, Nasira Asghar, Deepak Edward; Endophthalmitis after glaucoma filtering procedure and Glaucoma drainage implants, incidence, outcomes, and management: tertiary care experiance Riyadh. Invest. Ophthalmol. Vis. Sci. 2013;54(15):1124.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
The aim of this study is to report the incidence of endophthalmitis after glaucoma drainage implant (GDI) and trabeleculectomy surgery (trab) and to compare the microbiological profile, management and outcome between two periods
Retrospective review of the records of patients with endophthalmitis after trabeculectomy and GDI at KKESH between 1983- 2011. incidence, microbiological profile, management and final outcome grouped by two periods: group 1 (1983-1999) and group 2(2000-2011) and analyzed.
Total of 79 cases were identified. The mean age of the presentation was 48.65 years and the mean follow up was 5.8years, 78 cases presented 6 weeks or more after surgery, The incidence after GDI was 0.1& 0.06 in group 1 & 2 respectively and after trabulectomy was 0.6&0.5in group 1&2 respectively Endopthalmitis related to trabulectomy accounted for 81.4% of the cases and 18.6% after GDI in group 1 and was similar in group 2 ( 94.9 % trabe; 5.9% GDI The culture positive cases in group 1& 2 were 42 % & 49 % respectively . The isolated organisms in group 1 &2 was as follows: streptococcus species: 55.6% and 20% ); staphylococcus species: 11.1% %and 40% %and H,influenzae in 16.7% %&20% %of eyes respectively. The primary management was vitreous tap and antibiotic in 74.4% of the cases ,parsplana vitrectomy (PPV) in 20.8% of in group 1; and was similar in group 2. VA improved in group 1 and 2 in 45% %; and 50% %;of the cases respectively. There was no correlation between the visual outcome and the following variables: type of glaucoma,type of glaucoma surgery microbiologic profile, initial management, among group 1 and 2.
The microbiologic profile , management and outcome was the same in the two groups over 20 years period in our institute Despite the recent advances in glaucoma surgery and endopthalmitis management endophthalmitis after trabulectomy and GDI causes significant visual morbidity. This profile might related to the nature of the disease and the severity of infection at presentation
This PDF is available to Subscribers Only