Ashkenazi I, Melamed S, Avni I, Bartov E, Blumenthal M
Goldschleger Eye Institute, Tel-Hashomer, Israel.
Ophthalmic Surg. 1991 Oct;22(10):570-4.
Late infection of filtering blebs and endophthalmitis are hazardous complications of glaucoma filtering surgery frequently associated with bleb failure and loss of functional vision. To determine possible risk factors for the development of these complications, characteristics of nine eyes of nine patients after filtering surgery in whom late endophthalmitis developed were compared with those in patients who had received a comparable operation at the same time in whom endophthalmitis did not develop. An average of 7.7 +/- 6.2 years (range, 6 months to 18 years) elapsed between the time of the filtering procedure and the initial appearance of endophthalmitis. Factors associated with increased risk were: increased axial length, thin and leaky bleb, conjunctivitis, upper respiratory infection, and the winter season.
滤过泡晚期感染和眼内炎是青光眼滤过手术的危险并发症，常与滤过泡失败和功能性视力丧失相关。为了确定这些并发症发生的可能危险因素，将9例滤过手术后发生晚期眼内炎患者的9只眼的特征，与同期接受类似手术但未发生眼内炎的患者的特征进行了比较。滤过手术至眼内炎最初出现的平均时间为7.7±6.2年（范围为6个月至18年）。与风险增加相关的因素包括：眼轴长度增加、滤过泡薄且渗漏、结膜炎、上呼吸道感染和冬季。
