Bleb-associated endophthalmitis treated by sclera patch graft, vitrectomy and endoscopic cyclophotocoagulation.
- Author:
Peng-fei ZHENG
1
;
Xiu-qin PANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Endophthalmitis; surgery; Female; Glaucoma; surgery; Humans; Male; Trabeculectomy; adverse effects; Visual Acuity; physiology; Vitrectomy; methods; Young Adult
- From: Chinese Medical Journal 2012;125(18):3344-3345
- CountryChina
- Language:English
-
Abstract:
BACKGROUNDBleb-associated endophthalmitis (BAE) is a rare but severe complication of trabeculectomy with poor outcome. Various surgical methods were explored to treat such patients. However, there is no defined protocol. The aim of this study was to describe a new combined operation, and to demonstrate the outcome of the treatment.
METHODSNine patients with BAE were enrolled in our study. The combined operation including pars plana vitrectomy (PPV), sclera patch graft (SPG) and endoscopic cyclophotocoagulation (ECP) was used to treat these patients.
RESULTSIn the follow-up of 18 - 24 months, all patients with the endophthalmitis were cured, the useful visual acuity was preserved in 7 patients, and the intraocular pressure (IOP) of 8 patients was controlled just after first operation, only one needed another trans-scleral cyclophotocoagulation.
CONCLUSIONThis combined operation is a useful method for treating the patients with BAE, with SPG and vitrectomy to control the endophthalmitis and ECP to balance the postoperative IOP.
