Early successful treatment of postoperative necrotizing pseudomonas scleritis after trabeculectomy.

Abstract

PURPOSE:

The authors describe a patient who developed pseudomonas scleritis after a routine trabeculectomy.

METHOD:

The patient underwent trabeculectomy for poorly controlled intraocular pressure and progressive visual field loss. On the second postoperative date he developed severe pain, significant anterior chamber reaction, and hypotony. Scleral cultures taken at the time of surgical choroidal drainage grew pseudomonas aeruginosa.

RESULT:

Surgical reconstruction of the necrotic scleral area and intensive antibiotic treatment lead to a successful outcome.

CONCLUSION:

Early recognition and aggressive treatment with antibiotics initially, followed by surgical debridement of necrotic tissue, resulted in an unexpected successful outcome in a patient with pseudomonas scleritis.

• Authors: S Orengo-Nania, S J Best, G L Spaeth, T W Samuelson
• Journal: Journal of glaucoma (J Glaucoma) Vol. 6 Issue 6 Pg. 433-5 (Dec 1997) ISSN: 1057-0829 [Print] United States
• PMID: 9407374 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Anti-Bacterial Agents
• Debridement
• Drug Administration Routes
• Drug Therapy, Combination (administration & dosage)
• Eye Infections, Bacterial (etiology, surgery)
• Follow-Up Studies
• Glaucoma, Open-Angle (surgery)
• Humans
• Male
• Middle Aged
• Postoperative Complications (etiology, surgery)
• Pseudomonas Infections (etiology, surgery)
• Pseudomonas aeruginosa (isolation & purification)
• Plastic Surgery Procedures
• Sclera (microbiology, transplantation)
• Scleritis (microbiology, surgery)
• Surgical Wound Infection (microbiology, surgery)
• Trabeculectomy (adverse effects)
• Visual Acuity