Two Cases of Bleb-Related Endophthalmitis after Trabeculectomy with Mitomycin C. |
J H Kim, Y H Sohn, K B Uhm, C Hong |
1Department of Ophthalmology, College of Medicine, Hanyang University, Seoul, Korea. 2Glaucoma Service, Dr. Hongs eye Clinic. |
Mitomycin C 섬유주절제술후의 여과포와 관련된 안내염 2예 |
김준현(Kim J.H),손용호(Sohn Y.H),엄기방(Uhm K.B),홍철(Hong C) |
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Abstract |
Filtering blebs after mitomycin C trabeculectomy have been frequently described as thin, avascular, and to be likely to develop a aqueous leakage. An eye with these characteristics is said to be more prone to subsequent development of endophthalmitis. Late bleb-related endophthalmitis developed in two glaucoma patients with the age of 42 and 63 years at 39 and 20 months after mitomycin C trabeculectomy, respectively. Filtering blebs in both patients had been thin-walled and cystic blebs until the occurrence of endophthalmitis. At the onset of endophthalmitis both patients complained of decreased visual acuity with ocular pain and showed a milky-white bleb surrounded by intense conjunctival or subconjunctival antibiotics (vancomycin, ceftazidime or cefamezine, gentamicin) and corticosteroid (prednisolone or dexamethasone) led to resolution within a few weeks. The visual acuity of both patients recoverd to the previous level before the occurrence of endophthalmitis. |
Key Words:
Endophthalmitis;Mitomycin C;Thin-walled bleb;Trabeculectomy |
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