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BLEB-RELATED ENDOPHTHALMITIS AFTER USE OF THE INVITRIA INJECTION GUIDE.
Alex J Baneke1,2, Georgios Vakros1,2, Vik Sharma1
1Ophthalmology Department, The Royal Free Hospital, London, United Kingdom; and.
Retinal Cases & Brief Reports
|September 1, 2017
Summary
Injection guides may cause bleb trauma and leakage, leading to bleb-related endophthalmitis in glaucoma patients. Avoid these guides after filtering glaucoma surgery to prevent infection.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Infectious Disease
Background:
- Bleb-related endophthalmitis is a serious complication following glaucoma surgery.
- Risk factors include bleb leakage, hypotony, and blepharitis.
Observation:
- A patient developed bleb-related endophthalmitis two weeks after an intravitreal injection.
- The injection utilized the InVitria injection guide, which may have caused bleb trauma and leakage.
Findings:
- Bleb-related endophthalmitis incidence is up to 2% within 5 years post-surgery.
- The InVitria injection guide was implicated in causing bleb trauma and subsequent leakage in this case.
Implications:
- Injection guides should be used cautiously or avoided in patients with filtering glaucoma surgery.
- Preventing bleb trauma is crucial for reducing the risk of endophthalmitis.
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