期刊
OCULAR IMMUNOLOGY AND INFLAMMATION
卷 21, 期 1, 页码 54-55出版社
INFORMA HEALTHCARE
DOI: 10.3109/09273948.2012.736586
关键词
Glaucoma; Glaucoma drainage implant; Endophthalmitis; Nocardia; Exposed drainage implant
Purpose: To report a case of endophthalmitis due to Nocardia brasiliensis in an eye with an exposed, infected Ahmed glaucoma drainage implant (GDI). Design: Retrospective case report. Methods: A patient with an exposed GDI experienced recurrent episodes of endophthalmitis despite repeated intravitreal injections of antibiotics and steroids. The tube was initially repositioned and finally removed. Results: Whereas repeated cultures from the anterior chamber and vitreous were negative, cultures from the removed tube grew Nocardia brasiliensis. Despite oral trimethoprim-sulfamethoxazole and intravitreal amikacin the eye became phthisical and lost light perception. Conclusions: An exposed GDI may lead to endophthalmitis due to Nocardia brasiliensis and may require explantation to establish a diagnosis.
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