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Endoscope-Assisted Vitrectomy for Bleb-Related Endophthalmitis: A Case Series.
Mitsuru Otsubo1, Shun Konno, Ami Konno
1Department of Ophthalmology, Asahikawa Medical University, Hokkaido, Japan.
Retinal Cases & Brief Reports
|January 12, 2026
Summary
Endoscope-assisted vitrectomy effectively treated bleb-related endophthalmitis (BRE) in three patients, even with corneal edema. This approach improved vision and prevented complications like retinal detachment, showing promise for managing this serious eye infection.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Bleb-related endophthalmitis (BRE) is a serious complication following glaucoma filtering surgery.
- Corneal edema can significantly hinder visualization during treatment of BRE.
Purpose of the Study:
- To present three cases of BRE treated with endoscope-assisted vitrectomy.
- To detail the surgical technique and evaluate clinical outcomes.
Main Methods:
- Retrospective review of three patients with BRE post-glaucoma surgery.
- Pars plana vitrectomy (PPV) with 25-gauge endoscopic guidance.
- Removal of avascular filtering blebs and intraoperative assessment.
Main Results:
- Endoscope-assisted vitrectomy provided clear visualization despite corneal edema.
- Successful infection resolution in all cases without recurrence.
- Improved postoperative visual acuity, with one case preventing retinal detachment via laser treatment.
Conclusions:
- Endoscope-assisted vitrectomy is a valuable technique for BRE, especially with corneal edema.
- The approach allows precise peripheral vitreous removal.
- Facilitates early detection and management of associated retinal pathologies.
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