Irritating releasable suture after MMC augment trabeculectomy



What is the most common organism to cause Glaucoma Drainage Implants associated endophthalmitis?


  • Streptococcus species.
  • Coagulase negative Staphylococci.
  • B. Cereus.
  • Mycobacteria.





Glaucoma filtration surgery,  5 years ago, with releasable sutures.
Presented with irritation from the irritating temporal sutures.
Examination reveals chronic bleb related endophthalmitis (Stage 2 - 0.5 AC cells.)
Although the surgery was MMC augmented, the bleb looks very thick and vascularized.
The irritating suture came out easily, and it was not connected to deeper structures, or the nasal suture.









 

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