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2013, Number 1

Rev Méd Electrón 2013; 35 (1)

Blebytis associated to endophthalmitis. Presentation of a case

Hernández MR, Ramos LM, Martínez FCR, Piña RJÁ, Velázquez VY
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Language: Spanish
References: 5
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Key words:

endophthalmitis, phlebitis, glaucoma.

ABSTRACT

The endophthalmitis is known a one of the most serious complications feared by the ophthalmologists. 70 % of them appear after a surgical procedure. The infections related with the filtration bulla in the glaucoma surgery are infrequent and represent 0,1 % of all the endophthalmitis, though they are considered potentially serious. They comprehend the blebytis, a term introduced to describe the infection of the filtration bulla, with mucous purulent aspect, accompanied with a medium activity in the anterior chamber and lacking vitritis. This last sign is the most important difference with the blebytis associated to endophthalmitis, in which the vitreous humor is involved, associated to hypopyon and severe visual loss. We present three patients operated by glaucoma filtrating surgery who presented a picture of blebytis associated to endophthalmitis in the other two, needing topical treatment plus intravitreous and surgical, respectively. If an opportune and adequate diagnosis and treatment is made in these infrequent but devastating entities, the serious risks and complications are minimized, obtaining a better visual prognosis. Those were the reasons leading the authors to present these cases.


REFERENCES

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  2. Soltau JB, Rothman RF, Budenz DL, Greenfield DS, Feuer W, Liebmann JM, et al. Risk factors for glaucoma filtering bleb infections. Arch Ophthalmol. 2000;118(3):338-42. Citado en PubMed; PMID: 10721955.

  3. Vilaplana D, Poposki V. Tipos de endoftalmitis. Annals d’Oftalmologia [Internet]. 2008 [citado 8 Abr 2011];16(5):294-316. Disponible en: http://www.nexusmedica.com/web/articulos/r661/a16869/OFT52008_comunicacio4.pdf

  4. Prassad Nl. American Academy of OphthalmologyBlebitis and Endophthalmitis; 2010.

  5. Song A, Scott IU, Flynn HW Jr, Budenz DL. Delayed-onset Bleb-associated Endophthalmitis Clinical Features and Visual Acuity Outcomes. Ophthalmology. 2002;109:985–991. Citado en PubMed; PMID: 11986108.




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Rev Méd Electrón. 2013;35