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Outcomes of Late-Onset Bleb-Related Endophthalmitis Treated with Pars Plana Vitrectomy
Joint Authors
Ohtomo, Kazuyoshi
Mayama, Chihiro
Ueta, Takashi
Nagahara, Miyuki
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Purpose.
To investigate clinical results on bleb-related endophthalmitis (BRE) after trabeculectomy treated with pars plana vitrectomy (PPV) and to evaluate influence factors for visual prognosis.
Methods.
Investigating medical records retrospectively, BRE was defined as an endophthalmitis induced by bleb infection.
A total of 2018 eyes of 1225 patients who had trabeculectomy between December 2000 and July 2013 were included in this study.
Eleven eyes of 11 patients with BRE were performed with PPV.
Results.
The mean age was 56.6 years.
The mean period between trabeculectomy and BRE onset was 7.4 years.
The mean period from starting symptom to initiation of treatment for endophthalmitis (PSITE) was 2.3 days.
Bleb leakages were observed in 7 eyes (64%).
On culture examinations, highly pathogenic bacteria (HPB) were identified in 6 cases (55%).
HPB infection was influence factors on visual disturbance ( P = .
0337 ).
Number of HPB infections is significantly higher in poor visual outcome than without poor visual outcome ( P = .
0310 ).
Conclusion.
Visual prognosis of BRE treated by PPV is significantly better when the pathogenic bacteria are not HPB.
Severe visual loss occurred with HPB infection even though patients had appropriate treatments.
Physicians need to have careful consideration to prevent bleb infection after trabeculectomy with MMC.
American Psychological Association (APA)
Ohtomo, Kazuyoshi& Mayama, Chihiro& Ueta, Takashi& Nagahara, Miyuki. 2015. Outcomes of Late-Onset Bleb-Related Endophthalmitis Treated with Pars Plana Vitrectomy. Journal of Ophthalmology،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1069888
Modern Language Association (MLA)
Ohtomo, Kazuyoshi…[et al.]. Outcomes of Late-Onset Bleb-Related Endophthalmitis Treated with Pars Plana Vitrectomy. Journal of Ophthalmology No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1069888
American Medical Association (AMA)
Ohtomo, Kazuyoshi& Mayama, Chihiro& Ueta, Takashi& Nagahara, Miyuki. Outcomes of Late-Onset Bleb-Related Endophthalmitis Treated with Pars Plana Vitrectomy. Journal of Ophthalmology. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1069888
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1069888