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Infectious keratitis in a paracentesis tract

A Azuara-Blanco¹, L J Katz

¹Glaucoma Service and Research Laboratories, Wills Eye Hospital, Jefferson Medical School, Thomas Jefferson University, Philadelphia, PA 19107, USA.

Ophthalmic Surgery and Lasers

|April 1, 1997

Summary

Infectious keratitis, a rare complication, can develop in the paracentesis tract created during glaucoma surgery. This self-sealing wound typically poses minimal risk, but this case highlights a potential infectious complication.

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Area of Science:

Ophthalmology
Surgical Complications
Infectious Diseases

Background:

Paracentesis creates a self-sealing tract for anterior chamber access in glaucoma surgery.
Complications from paracentesis are generally infrequent due to its wound sealing properties.

Observation:

A case of infectious keratitis developing within a paracentesis tract is reported.
This complication occurred despite the typically low risk associated with paracentesis wounds.

Findings:

Infectious keratitis represents a rare but serious complication of paracentesis.
The paracentesis tract, while usually self-sealing, can serve as an entry point for infection.

Implications:

Ophthalmologists should be vigilant for signs of infectious keratitis in paracentesis tracts.
This case underscores the importance of sterile technique and monitoring post-glaucoma procedures.

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