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Endophthalmitis after glaucoma surgery may limit sustained IOP control
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IOP was successfully controlled in only 25% of patients with previous glaucoma surgery complicated by infectious endophthalmitis, according to a study.
In addition, half of the study patients needed to undergo additional glaucoma surgery.
The retrospective case series included 12 patients who had undergone glaucoma surgery and presented with infectious endophthalmitis. Eight patients had undergone trabeculectomy, and four had undergone bleb revision.
Failure to control IOP was based on IOP of 22 mm Hg or greater or IOP of 16 mm Hg or greater at three consecutive follow-up examinations.
Mean follow-up after resolution of endophthalmitis was 43.7 months. Mean time to failure of IOP control was 9.25 months.
IOP control failed in nine patients (75%). IOP was maintained at less than 22 mm Hg in two patients (17%) and less than 16 mm Hg in one patient (8%).
Patient age older than 65 years, correlated significantly with an increased risk of failed IOP control (P = .0002).
Two patients required additional drainage device implantation, and four required trabeculectomy revision during follow-up. – by Matt Hasson
Disclosure: The authors report no relevant financial disclosures.
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