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A case of late pseudomonas ocular infection following scleral buckling
Acta Ophthalmologica
|August 1, 1976
Abstract:
Two and half years after a circling buckle operation in which two Supra-mid sutures and a solid silicone explant were employed, a Pseudomonas infection developed around the explant and progressed to the inner eye. Removal of all implanted foreign material and treatment with Rifamicin saved the eye. The relevant literature on infection following sclero-plastic procedures is reviewed, and the pathogenesis of the late infections is discussed.
Insights
Late Pseudomonas infection after scleral buckle surgery can be serious but is treatable. Prompt removal of foreign material and antibiotic therapy, such as Rifamicin, can successfully save the eye.
Area of Science:
- Ophthalmology
- Surgical Infections
Background:
- Scleral buckle procedures are used to treat retinal detachment.
- Foreign materials like silicone explants and sutures are implanted during these surgeries.
Observation:
- A patient developed a Pseudomonas infection 2.5 years post-surgery around the scleral buckle explant.
- The infection progressed into the inner eye.
Findings:
- Complete removal of all implanted foreign material was necessary.
- Treatment with Rifamicin was effective in resolving the infection and saving the eye.
Implications:
- This case highlights the risk of late-onset infections following scleral buckle surgery.
- Early detection and aggressive management, including foreign material removal and targeted antibiotics, are crucial for favorable outcomes.
- Understanding the pathogenesis of late infections is important for prevention strategies.