title: An unusual presentation of Pseudomonas aeruginosa blebitis following combined surgery.
abstract: We report a case of blebitis that occurred 3 years later following a combined glaucoma and cataract surgery. It was an atypical presentation, as patient had no classical fiery looking signs of blebitis despite the isolated organism being Pseudomonas aeruginosa. Improvized surgical techniques like use of Mitomycin C, releasable flap sutures though considered as part of the recommended procedure for better surgical outcomes, their role as potential risk factors for visually blinding complications like endophthalmitis are often overlooked. This case report throws light on such risk factors for bleb associated infections and recommends removal or trimming of all releasable sutures and the need for a regular postoperative follow-up.
authors.affiliation: Glaucoma Speciality Clinic, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India.
authors.forename: Shabana
authors.initials: S
authors.lastname: Bharathi
authors.forename: Ganesh V
authors.initials: GV
authors.lastname: Raman
authors.forename: Dhavalikar Mrunali
authors.initials: DM
authors.lastname: Mohan
authors.forename: Anjana
authors.initials: A
authors.lastname: Krishnan
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001762:Blepharitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction / Q000009:adverse effects*; D015818:Eye Infections, Bacterial / Q000188:drug therapy*; D005260:Female; D005901:Glaucoma / Q000150:complications / Q000601:surgery; D006801:Humans; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D014130:Trabeculectomy / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents