Subconjunctival povidone-iodine in the treatment of bleb-associated endophthalmitis
Sidra Zafar1, Luis Acaba Berrocal1, Moon J Lee2
1Mid Atlantic Retina, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Purpose:
To describe a case of bleb-associated endophthalmitis managed with adjunct subconjunctival injection of 0.5%/0.05 mL of povidone-iodine (PI).
Methods:
Case report.
Results:
An 81-year-old man presented with 3 days of pain and vision loss in his left eye. His overall presentation was consistent with bleb-associated endophthalmitis which was managed initially with vitreous tap and intravitreal antibiotics along with fortified antibiotics and topical steroids. At the patient's 3-day follow-up, 0.5%/0.05 mL of povidone-iodine (PI) was injected into the bleb with rapid resolution of purulence within the bleb in 48 hours. No recurrences or adverse events were noted at the 4-week follow-up.
Discussion:
Subconjunctival PI may represent a useful option in treating cases of bleb-associated endophthalmitis.
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