Infected Baerveldt Glaucoma Drainage Device by Aspergillus niger

Area of Science:

• Ophthalmology
• Infectious Diseases
• Surgical Complications

Background:

• Fungal endophthalmitis is a rare but serious complication following glaucoma drainage device surgery.
• Subtle initial symptoms and treatment resistance contribute to poor visual prognosis.
• Intravitreal voriconazole has less documented experience compared to Amphotericin B for fungal endophthalmitis.

Purpose of the Study:

• To report a successful management strategy for Aspergillus endophthalmitis post-glaucoma drainage device implantation.
• To evaluate the efficacy of intravitreal and topical voriconazole in a challenging clinical scenario.

Main Methods:

• A case presentation of a patient who developed Aspergillus endophthalmitis after Baerveldt glaucoma drainage device implantation.
• Treatment involved a combination of intravitreal and topical voriconazole administration.

Main Results:

• Successful resolution of Aspergillus endophthalmitis was achieved with the prescribed treatment regimen.
• The patient's visual outcome, while not explicitly detailed, was positive under this management approach.

Conclusions:

• Intravitreal and topical voriconazole represent a viable and effective treatment option for fungal endophthalmitis, including Aspergillus species, following glaucoma surgery.
• This approach may be considered in cases where traditional treatments are less effective or experienced.