Restoration of intraocular pressure after streptococcus endophthalmitis with vitrectomy.
A bleb infection and subsequent endophthalmitis developed in the left eye of a 68-year-old man who had had a trabeculectomy. Vitreous injections of vancomycin and gentamicin were given, and vitreous cultures grew alpha-Streptococcus. Postoperatively, as the intraocular inflammation resolved, intraocular pressure (IOP) markedly decreased secondary, in our judgment, to ciliary body ischemia. A pars plana vitrectomy relieved the tractional bands and restored the IOP.
Wallace
R T
RT
Department of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tenn.
O'Day
D M
DM
D000368:Aged; D009877:Endophthalmitis / Q000150:complications*; D015818:Eye Infections, Bacterial / Q000150:complications*; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery*; D013290:Streptococcal Infections / Q000150:complications*; D014130:Trabeculectomy / Q000009:adverse effects; D014821:Vitrectomy / Q000379:methods*