Bharathi Shabana, Raman Ganesh V, Mohan Dhavalikar Mrunali, Krishnan Anjana
Glaucoma Speciality Clinic, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India.
Indian J Ophthalmol. 2014 Sep;62(9):958-60. doi: 10.4103/0301-4738.143947.
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.
我们报告了一例青光眼合并白内障手术后3年发生的睑裂斑炎病例。这是一种非典型表现，尽管分离出的病原体是铜绿假单胞菌，但患者并无睑裂斑炎典型的炎性外观体征。像使用丝裂霉素C、可松解瓣状缝线等改良手术技术，虽被视为有助于获得更好手术效果的推荐手术步骤的一部分，但其作为眼内炎等致盲性并发症潜在危险因素的作用却常被忽视。本病例报告揭示了此类与睑裂斑相关感染的危险因素，并建议拆除或修剪所有可松解缝线以及进行定期术后随访。
