Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery
Background and Objectives: To report a case of delayed-onset bleb-associated endophthalmitis (BAE) with bleb leak successfully managed with pars plana vitrectomy, intravitreal antibiotics, intracameral air, and fibrin glue. Patient and Methods: A 66-year-old pseudophakic female presented with BAE an...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2019-01-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/496383 |
| _version_ | 1818943067265171456 |
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| author | Mohammed R. Hayat Fatema S. Mollah Kamal Kishore |
| author_facet | Mohammed R. Hayat Fatema S. Mollah Kamal Kishore |
| author_sort | Mohammed R. Hayat |
| collection | DOAJ |
| description | Background and Objectives: To report a case of delayed-onset bleb-associated endophthalmitis (BAE) with bleb leak successfully managed with pars plana vitrectomy, intravitreal antibiotics, intracameral air, and fibrin glue. Patient and Methods: A 66-year-old pseudophakic female presented with BAE and bleb leak. A 25-gauge pars plana vitrectomy, cultures, and intravitreal antibiotics and steroid injections were performed. The infusion was switched to air filling the anterior chamber and bleb with air. Fibrin glue (Tisseel®) was applied over the leaking bleb. Results: BAE and bleb leak resolved with return of visual acuity to 20/25 and a functioning bleb with no recurrence of bleb leak after 1 year of follow-up. Conclusion: The combination of intracameral air and fibrin glue may have a role in the management of bleb leaks. |
| first_indexed | 2024-12-20T07:21:26Z |
| format | Article |
| id | doaj.art-64dacd68e9634ecf97add639fb32f994 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-20T07:21:26Z |
| publishDate | 2019-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-64dacd68e9634ecf97add639fb32f9942022-12-21T19:48:40ZengKarger PublishersCase Reports in Ophthalmology1663-26992019-01-01101475210.1159/000496383496383Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma SurgeryMohammed R. HayatFatema S. MollahKamal KishoreBackground and Objectives: To report a case of delayed-onset bleb-associated endophthalmitis (BAE) with bleb leak successfully managed with pars plana vitrectomy, intravitreal antibiotics, intracameral air, and fibrin glue. Patient and Methods: A 66-year-old pseudophakic female presented with BAE and bleb leak. A 25-gauge pars plana vitrectomy, cultures, and intravitreal antibiotics and steroid injections were performed. The infusion was switched to air filling the anterior chamber and bleb with air. Fibrin glue (Tisseel®) was applied over the leaking bleb. Results: BAE and bleb leak resolved with return of visual acuity to 20/25 and a functioning bleb with no recurrence of bleb leak after 1 year of follow-up. Conclusion: The combination of intracameral air and fibrin glue may have a role in the management of bleb leaks.https://www.karger.com/Article/FullText/496383Intracameral airFibrin glueGlaucomaBleb leakBleb-associated endophthalmitis |
| spellingShingle | Mohammed R. Hayat Fatema S. Mollah Kamal Kishore Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery Case Reports in Ophthalmology Intracameral air Fibrin glue Glaucoma Bleb leak Bleb-associated endophthalmitis |
| title | Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery |
| title_full | Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery |
| title_fullStr | Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery |
| title_full_unstemmed | Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery |
| title_short | Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery |
| title_sort | intracameral air and fibrin glue for the management of late bleb leak following glaucoma surgery |
| topic | Intracameral air Fibrin glue Glaucoma Bleb leak Bleb-associated endophthalmitis |
| url | https://www.karger.com/Article/FullText/496383 |
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