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[Late endophthalmitis complicating glaucoma filtering surgery without adjunctive antifibrotic agents].

Authors: O, Ouhadj; N, Degheb; I, Chergui; M T, Nouri;

[Late endophthalmitis complicating glaucoma filtering surgery without adjunctive antifibrotic agents].

Abstract

To identify the incidence, infecting organisms, and clinical results of late endophthalmitis after trabeculectomy without antifibrotic agents.The current retrospective study investigated 613 trabeculectomies without adjunctive antifibrotic agents performed between January 1994 and December 2003 in the Clinic of Ophthalmology of Beni-Messous University Hospital (Algiers, Algeria).Eight eyes presented with late endophthalmitis after an uneventful postoperative period, for an incidence of 1.3%. The endophthalmitis occurred between 1 year and 7 years after the filtering surgery. Conjunctival swabs were taken in all cases. Vitreous swabs were taken in only six cases. There were five positive cases. The organisms identified were Staphylococcus aureus (one case), alpha hemolytic streptococci (two cases), Haemophilus sp. (one case), and Pseudomonas aeruginosa (pyocyanic) (one case). The anatomic and visual results were poor after treatment of endophthalmitis. One case deteriorated, ending in enucleation.Late endophthalmitis may complicate glaucoma filtering surgery, several months or years later, after a postoperative period without incident. The surgical indications of glaucoma must take into account the complications related to this surgery.

Keywords

Male, Endophthalmitis, Haemophilus Infections, Antimetabolites, Glaucoma, Cataract Extraction, Middle Aged, Combined Modality Therapy, Fibrosis, Growth Inhibitors, Anti-Bacterial Agents, Cicatrix, Postoperative Complications, Child, Preschool, Humans, Female, Pseudomonas Infections, Conjunctiva, Aged, Retrospective Studies

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
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