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Management Patterns and Visual Outcomes of Endophthalmitis After Glaucoma Drainage Device Placement: A Case Series.

Publication ,  Journal Article
Robbins, CB; Feng, HL; Fekrat, S
Published in: J Glaucoma
January 1, 2021

PURPOSE: To describe clinical presentation, management, and outcomes of eyes with endophthalmitis related to glaucoma drainage device (GDD) placement. PATIENTS AND METHODS: Retrospective chart review of patients diagnosed with GDD-related endophthalmitis at Duke Eye Center from 2009 to 2018. RESULTS: 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%). CONCLUSIONS: 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.

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Published In

J Glaucoma

DOI

EISSN

1536-481X

Publication Date

January 1, 2021

Volume

30

Issue

1

Start / End Page

e5 / e7

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Ophthalmology & Optometry
  • Intraocular Pressure
  • Humans
  • Glaucoma Drainage Implants
  • Glaucoma
  • Endophthalmitis
  • 3212 Ophthalmology and optometry
  • 1103 Clinical Sciences
 

Citation

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Robbins, C. B., Feng, H. L., & Fekrat, S. (2021). Management Patterns and Visual Outcomes of Endophthalmitis After Glaucoma Drainage Device Placement: A Case Series. J Glaucoma, 30(1), e5–e7. https://doi.org/10.1097/IJG.0000000000001679
Robbins, Cason B., Henry L. Feng, and Sharon Fekrat. “Management Patterns and Visual Outcomes of Endophthalmitis After Glaucoma Drainage Device Placement: A Case Series.J Glaucoma 30, no. 1 (January 1, 2021): e5–7. https://doi.org/10.1097/IJG.0000000000001679.
Robbins, Cason B., et al. “Management Patterns and Visual Outcomes of Endophthalmitis After Glaucoma Drainage Device Placement: A Case Series.J Glaucoma, vol. 30, no. 1, Jan. 2021, pp. e5–7. Pubmed, doi:10.1097/IJG.0000000000001679.

Published In

J Glaucoma

DOI

EISSN

1536-481X

Publication Date

January 1, 2021

Volume

30

Issue

1

Start / End Page

e5 / e7

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Ophthalmology & Optometry
  • Intraocular Pressure
  • Humans
  • Glaucoma Drainage Implants
  • Glaucoma
  • Endophthalmitis
  • 3212 Ophthalmology and optometry
  • 1103 Clinical Sciences