Endoftalmitis tardía tras implantación de válvula de Ahmed

  1. A Del-Hierro-Zarzuelo
  2. E Vico-Ruiz
  3. JM Martínez-de-la-Casa
  4. J García-Feijoó
  5. A Castillo-Martín
  6. J García-Sánchez
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Any de publicació: 2005

Volum: 80

Número: 11

Pàgines: 659-661

Tipus: Article

DOI: 10.4321/S0365-66912005001100007 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Archivos de la Sociedad Española de Oftalmologia

Resum

Case report: A 71-year-old woman with a history of aphakic glaucoma underwent implantation of an Ahmed valve and scleral grafting in her right eye. Postoperative visual acuity was 0.5 and intraocular pressure was 12 mmHg during treatment with brimonidine tartrate (0.2%). Nine months after implantation she suffered a conjunctival infection which was treated with hygienic measures and topical antibiotic therapy. Four days later, she developed an endophthalmitis which was treated with topical, intravitreous and intravenous vancomycin and ceftazidime. The Ahmed drainage implant was replaced at 72 hours. Laboratory culture yielded Haemophilus influenzae. Four days later, the eye was enucleated. Discussion: Endophthalmitis is an uncommon complication of glaucoma drainage implant surgery. Exposure of the drainage tube represents the greatest risk factor for this condition. Removal of the implant in the first 24 hours is recommended if a good visual prognosis is to be achieved.

Referències bibliogràfiques

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Fuente de los datos: Dialnet