Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report
Abstract Background We report a case of Corynebacterium endophthalmitis secondary to tube exposure following Baerveldt glaucoma implant surgery that was successfully treated with prompt tube withdrawal and temporary subconjunctival tube placement without removing the glaucoma drainage device. Case p...
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| Format: | Article |
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BMC
2021-10-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-021-02136-6 |
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| author | Naruka Mitsui Kae Sugihara Jiro Seguchi Etsuo Chihara Yuki Morizane Akiko Narita |
| author_facet | Naruka Mitsui Kae Sugihara Jiro Seguchi Etsuo Chihara Yuki Morizane Akiko Narita |
| author_sort | Naruka Mitsui |
| collection | DOAJ |
| description | Abstract Background We report a case of Corynebacterium endophthalmitis secondary to tube exposure following Baerveldt glaucoma implant surgery that was successfully treated with prompt tube withdrawal and temporary subconjunctival tube placement without removing the glaucoma drainage device. Case presentation A 65-year-old Japanese man with secondary glaucoma underwent glaucoma drainage device surgery with a donor scleral patch graft in the inferonasal quadrant of his right eye. Ten months after surgery, he presented with tube exposure due to dehiscence of the overlying conjunctiva and erosion of the scleral patch graft. Eleven days later, mild inflammation was found in the anterior chamber and anterior vitreous body, with the root of the tube surrounded by a plaque at the site of insertion in the anterior chamber. He was diagnosed with infectious endophthalmitis secondary to tube exposure. Two days later, since medical therapy was ineffective, the tube was withdrawn from the anterior chamber and irrigated with a polyvinyl alcohol-iodine solution, and the tube was tucked into the subconjunctival space. Complete resolution of the infection was achieved 1.5 months later. The tube was reinserted nasally into the anterior chamber and covered with a scleral patch graft and a free limbal conjunctival autograft. Thereafter, there has been no recurrence of infection or tube exposure. Twenty eight months after tube reinsertion, his right best-corrected visual acuity was 20/50 and intraocular pressure was 12 mmHg. Conclusion Prompt tube withdrawal and temporary subconjunctival tube placement followed by tube reinsertion may be effective for endophthalmitis associated with tube exposure after glaucoma drainage device surgery. |
| first_indexed | 2024-12-19T03:31:30Z |
| format | Article |
| id | doaj.art-43c8a048c41f4cd3a86a4ec0f349cfbc |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-19T03:31:30Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-43c8a048c41f4cd3a86a4ec0f349cfbc2022-12-21T20:37:29ZengBMCBMC Ophthalmology1471-24152021-10-012111610.1186/s12886-021-02136-6Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case reportNaruka Mitsui0Kae Sugihara1Jiro Seguchi2Etsuo Chihara3Yuki Morizane4Akiko Narita5Department of Ophthalmology, Okayama Saiseikai General HospitalDepartment of Ophthalmology, Okayama Saiseikai General HospitalDepartment of Ophthalmology, Okayama Saiseikai General HospitalSensho-kai Eye InstituteDepartment of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical ScienceDepartment of Ophthalmology, Okayama Saiseikai General HospitalAbstract Background We report a case of Corynebacterium endophthalmitis secondary to tube exposure following Baerveldt glaucoma implant surgery that was successfully treated with prompt tube withdrawal and temporary subconjunctival tube placement without removing the glaucoma drainage device. Case presentation A 65-year-old Japanese man with secondary glaucoma underwent glaucoma drainage device surgery with a donor scleral patch graft in the inferonasal quadrant of his right eye. Ten months after surgery, he presented with tube exposure due to dehiscence of the overlying conjunctiva and erosion of the scleral patch graft. Eleven days later, mild inflammation was found in the anterior chamber and anterior vitreous body, with the root of the tube surrounded by a plaque at the site of insertion in the anterior chamber. He was diagnosed with infectious endophthalmitis secondary to tube exposure. Two days later, since medical therapy was ineffective, the tube was withdrawn from the anterior chamber and irrigated with a polyvinyl alcohol-iodine solution, and the tube was tucked into the subconjunctival space. Complete resolution of the infection was achieved 1.5 months later. The tube was reinserted nasally into the anterior chamber and covered with a scleral patch graft and a free limbal conjunctival autograft. Thereafter, there has been no recurrence of infection or tube exposure. Twenty eight months after tube reinsertion, his right best-corrected visual acuity was 20/50 and intraocular pressure was 12 mmHg. Conclusion Prompt tube withdrawal and temporary subconjunctival tube placement followed by tube reinsertion may be effective for endophthalmitis associated with tube exposure after glaucoma drainage device surgery.https://doi.org/10.1186/s12886-021-02136-6Glaucoma drainage deviceTube exposureEndophthalmitisCorynebacteriumCase reportOcular infection |
| spellingShingle | Naruka Mitsui Kae Sugihara Jiro Seguchi Etsuo Chihara Yuki Morizane Akiko Narita Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report BMC Ophthalmology Glaucoma drainage device Tube exposure Endophthalmitis Corynebacterium Case report Ocular infection |
| title | Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report |
| title_full | Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report |
| title_fullStr | Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report |
| title_full_unstemmed | Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report |
| title_short | Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report |
| title_sort | corynebacterium ocular infection after baerveldt glaucoma implant surgery treatment involving immediate tube withdrawal and temporary subconjunctival tube placement a case report |
| topic | Glaucoma drainage device Tube exposure Endophthalmitis Corynebacterium Case report Ocular infection |
| url | https://doi.org/10.1186/s12886-021-02136-6 |
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