AI Article Synopsis
- A case was reported of an 87-year-old woman who developed post-operative endophthalmitis after cataract surgery combined with iStent glaucoma treatment.
- Despite multiple attempts to place the second iStent, it was unsuccessful and endophthalmitis was diagnosed just four days after the surgery.
- The patient ultimately lost all light perception, raising awareness about the potential severe complications associated with iStent placement.
Article Abstract
Purpose: To report a case of post-operative endophthalmitis following combined cataract extraction and minimally invasive glaucoma surgery with placement of the iStent drainage device.
Observation: An 87-year-old woman with a nuclear sclerotic cataract and primary open angle glaucoma underwent elective phacoemulsification cataract extraction with iStent placement. Surgery was complicated only by the inability to properly place the second iStent despite several attempts. At 4 days post-operatively she was diagnosed with endophthalmitis. Despite the prompt intravitreal injections of broad spectrum antibiotics, she lost all perception of light. Cultures of anterior chamber aspirates failed to identify a causative organism.
Conclusion And Importance: In what we believe to be the first report of endophthalmitis associated with placement of the iStent, complete loss of vision occurred. Surgeons need to be aware that iStent placement may be complicated by severe endophthalmitis.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452001 | PMC |
| http://dx.doi.org/10.1016/j.ajoc.2020.100830 | DOI Listing |
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