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Treatment of Bleb Infection After Glaucoma Surgery

Treatment of Bleb Infection After Glaucoma Surgery Abstract The problem of late bleb-related endophthalmitis is of great concern to glaucoma surgeons because of its increasing incidence related to the widespread use of adjunctive antifibrosis therapy. We therefore read with interest the article by Brown et al1 because of the important nature of the problem. Unfortunately, our prior publication2 on this topic must have eluded their literature search. The conclusions of the article by Brown et al mirrored ours. In our 1991 article2 evaluating a series of 13 patients with late bleb-related endophthalmitis following trabeculectomy with fluorouracil, we reported a late infection rate of 3.0% for filtering surgery performed above the horizontal meridian and a rate of over 9.0% for surgery performed below the horizontal meridian. An intermittent positive Seidel test and thin-walled bleb were present in 62% of our cases presenting with an infection. All patients without vitreous involvement at the time of presentation had References 1. Brown RH, Yang LH, Walker SD, Lynch MG, Martinez LA, Wilson LA. Treatment of bleb infection after glaucoma surgery . Arch Ophthalmol . 1994;112:57-61.Crossref 2. Wolner B, Liebmann JM, Sassani JW, Ritch R, Speaker M, Marmor M. Late bleb-related endophthalmitis after trabeculectomy with adjunctive 5-fluorouracil . Ophthalmology . 1991;98:1053-1060.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1994.01090220027009
Publisher site
See Article on Publisher Site

Abstract

Abstract The problem of late bleb-related endophthalmitis is of great concern to glaucoma surgeons because of its increasing incidence related to the widespread use of adjunctive antifibrosis therapy. We therefore read with interest the article by Brown et al1 because of the important nature of the problem. Unfortunately, our prior publication2 on this topic must have eluded their literature search. The conclusions of the article by Brown et al mirrored ours. In our 1991 article2 evaluating a series of 13 patients with late bleb-related endophthalmitis following trabeculectomy with fluorouracil, we reported a late infection rate of 3.0% for filtering surgery performed above the horizontal meridian and a rate of over 9.0% for surgery performed below the horizontal meridian. An intermittent positive Seidel test and thin-walled bleb were present in 62% of our cases presenting with an infection. All patients without vitreous involvement at the time of presentation had References 1. Brown RH, Yang LH, Walker SD, Lynch MG, Martinez LA, Wilson LA. Treatment of bleb infection after glaucoma surgery . Arch Ophthalmol . 1994;112:57-61.Crossref 2. Wolner B, Liebmann JM, Sassani JW, Ritch R, Speaker M, Marmor M. Late bleb-related endophthalmitis after trabeculectomy with adjunctive 5-fluorouracil . Ophthalmology . 1991;98:1053-1060.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1994

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