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- Title
Late onset group B streptococcus endophthalmitis associated with conjunctival filtration bleb.
- Authors
Tan, T Y; Escardo-Paton, J A; Walters, R F
- Abstract
Endophthalmitis is a well-recognised late complication of glaucoma filtration surgery. The causative organisms differ from those of acute postoperative endophthalmitis. The first case description of late bleb-related endophthalmitis caused by Streptococcus agalactiae or group B Streptococcus (GBS) is described. A nondiabetic 86-year-old woman presented to the emergency eye service in 2001 with a 1-day history of painful, inflamed left eye associated with marked reduction in visual acuity. She was known to have bilateral advanced primary open-angle glaucoma, which had been treated with bilateral trabeculectomies without antifibrotic agents (right 1998, left 1999), and she had been bilaterally pseudophakic for 12 months. At presentation, her visual acuities were counting fingers (right) and perception of light (left). Vitreous humour was sampled from this eye and ceftazidime 2 mg and vancomycin 1 mg were injected intravitreally. At 4 days after presentation, the left eye had no perception of light. The conjunctival bleb had perforated and the cornea was opaque. GBS is a well-documented neonatal pathogen, although invasive adult GBS disease is also increasing in frequency. However, GBS remains an uncommon cause of intraocular infections.
- Subjects
EYE inflammation; STREPTOCOCCUS; GLAUCOMA surgery; VISUAL acuity
- Publication
Eye, 2003, Vol 17, Issue 5, p656
- ISSN
0950-222X
- Publication type
Article
- DOI
10.1038/sj.eye.6700445