Duke University School of Medicine.
Duke Eye Center, Duke University, Durham, NC.
J Glaucoma. 2021 Jan 1;30(1):e5-e7. doi: 10.1097/IJG.0000000000001679.
To describe clinical presentation, management, and outcomes of eyes with endophthalmitis related to glaucoma drainage device (GDD) placement.
Retrospective chart review of patients diagnosed with GDD-related endophthalmitis at Duke Eye Center from 2009 to 2018.
Six eyes of 6 patients had endophthalmitis related to a GDD (2 Ahmed, 4 Baerveldt). The mean time from surgery to presentation was 22.7 months. Five of 6 cases (83%) had culture-proven infectious endophthalmitis. Eyes undergoing GDD explantation (n=2) had better visual acuity at 6 months compared with those without hardware removal (20/11,314 vs. 20/358). Visual acuity at 6 months was hand motion (20/8000) or worse in 3 of 6 cases (50%).
GDD-related endophthalmitis often leads to poor visual outcomes. Hardware removal may lead to improved visual outcomes; a multicenter prospective study assessing the benefit of hardware removal may be warranted.
描述与青光眼引流装置（GDD）植入相关的眼内炎的临床表现、治疗方法和结局。
回顾性分析 2009 年至 2018 年在杜克眼科中心诊断为 GDD 相关眼内炎的患者的病历。
6 名患者的 6 只眼发生了与 GDD 相关的眼内炎（2 例 Ahmed，4 例 Baerveldt）。从手术到就诊的平均时间为 22.7 个月。5 例（83%）经培养证实为感染性眼内炎。接受 GDD 取出术的眼（n=2）在 6 个月时的视力优于未行硬件移除的眼（20/11，314 比 20/358）。6 例中有 3 例（50%）在 6 个月时视力为手动（20/8000）或更差。
GDD 相关眼内炎常导致视力不良。去除硬件可能会改善视力结局；可能需要进行一项多中心前瞻性研究来评估去除硬件的益处。
