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Bacteroides Spp. Blebitis, Keratitis, and Endophthalmitis Following Uncomplicated Trabeculectomy
- Source :
- Journal of glaucoma. 28(7)
- Publication Year :
- 2019
-
Abstract
- To describe the first known case of Bacteroides spp. related blebitis, keratitis, and endophthalmitis following uncomplicated trabeculectomy.This was a case report and literature review.A 63-year-old immunocompetent white male underwent uncomplicated trabeculectomy of his right eye. Two weeks later, a blebitis with adjacent keratitis was diagnosed, progressing over several days to endophthalmitis despite hourly topical fortified antibiotic therapy. Although gram stain and culture of the bleb surface, a conjunctival suture, the aqueous humor, and the vitreous were negative, topical real-time quantitative polymerase chain reaction testing disclosed the presence of Bacteroides spp. Following treatment with topical and intravitreal clindamycin and intravenous meropenem, all clinical evidence of infection resolved. Best spectacle-corrected visual acuity improved to 20/25 (0.8) subsequent to combined cataract extraction, intraocular lens implantation, and pars plana vitrectomy for persistent vitreous debris.Bacteroides may be a rare cause of postoperative blebitis, keratitis, and endophthalmitis. A favorable outcome may be attained, provided that an accurate diagnosis and effective treatment can be provided, which may be facilitated by real-time quantitative polymerase chain reaction in select cases.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
White male
Glaucoma
Administration, Ophthalmic
Trabeculectomy
Real-Time Polymerase Chain Reaction
Eye Infections, Bacterial
Keratitis
Endophthalmitis
Pharmacotherapy
Ophthalmology
Medicine
Bacteroides
Humans
Corneal Ulcer
biology
business.industry
Clindamycin
Meropenem
Eye infection
Middle Aged
medicine.disease
biology.organism_classification
Bacteroides Infections
Anti-Bacterial Agents
Injections, Intravenous
Intravitreal Injections
Drug Therapy, Combination
business
Glaucoma, Open-Angle
Subjects
Details
- ISSN :
- 1536481X
- Volume :
- 28
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of glaucoma
- Accession number :
- edsair.doi.dedup.....35fb4b559011ad634b12151efd521c5f