Early successful treatment of postoperative necrotizing pseudomonas scleritis after trabeculectomy.
OBJECTIVE
The authors describe a patient who developed pseudomonas scleritis after a routine trabeculectomy.


METHODS
The patient underwent trabeculectomy for poorly controlled intraocular pressure and progressive visual field loss. On the second postoperative date he developed severe pain, significant anterior chamber reaction, and hypotony. Scleral cultures taken at the time of surgical choroidal drainage grew pseudomonas aeruginosa.


RESULTS
Surgical reconstruction of the necrotic scleral area and intensive antibiotic treatment lead to a successful outcome.


CONCLUSIONS
Early recognition and aggressive treatment with antibiotics initially, followed by surgical debridement of necrotic tissue, resulted in an unexpected successful outcome in a patient with pseudomonas scleritis.
Orengo-Nania
S
S
Cullen Eye Institute, Baylor College of Medicine, Houston, TX 77030, USA.
Best
S J
SJ
Spaeth
G L
GL
Samuelson
T W
TW
D000900:Anti-Bacterial Agents; D003646:Debridement; D004333:Drug Administration Routes; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D015818:Eye Infections, Bacterial / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011552:Pseudomonas Infections / Q000209:etiology / Q000601:surgery*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D019651:Plastic Surgery Procedures; D012590:Sclera / Q000382:microbiology / Q000637:transplantation*; D015423:Scleritis / Q000382:microbiology / Q000601:surgery*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000601:surgery*; D014130:Trabeculectomy / Q000009:adverse effects*; D014792:Visual Acuity
D000900:Anti-Bacterial Agents