Early postoperative endophthalmitis after pars plana Ahmed valve placement with persistent extraocular infection.
This article presents a case of early postoperative endophthalmitis that occurred after vitrectomy and Ahmed Glaucoma Valve (New World Medical, Inc., Rancho Cucamonga, CA) placement and was treated with intravitreal antibiotics. Intravenous vancomycin was started after aqueous culture grew methicillin-resistant Staphylococcus aureus. The endophthalmitis improved, but new purulent discharge around the peritomy was noted 10 days after presentation, requiring removal of the valve.
Park
Susanna S
SS
Department of Ophthalmology, University of California Davis Medical Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817, USA.
Rabowsky
Jeffrey
J
D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D020878:Device Removal; D004334:Drug Administration Schedule; D009877:Endophthalmitis / Q000382:microbiology*; D005260:Female; D020327:Glaucoma Drainage Implants / Q000009:adverse effects*; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007275:Injections, Intravenous; D016106:Methicillin Resistance; D009916:Orbital Diseases / Q000209:etiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D014640:Vancomycin / Q000008:administration & dosage / Q000627:therapeutic use; D014821:Vitrectomy
D000900:Anti-Bacterial Agents; D014640:Vancomycin