An unusual presentation of Pseudomonas aeruginosa blebitis following combined surgery

Abstract

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.

Keywords

• Glaucoma
• pressure-to-cornea index
• visual field
• Combined trabeculectomy
• glaucoma tube shunt surgery
• long-term results
• ocular perfusion pressure
• open-angle glaucoma
• systemic hypertension
• Anterior stromal opacities
• femtosecond anterior lamellar keratoplasty
• spectral domain optical coherence tomography
• Anesthesia
• cataract
• phacoemulsification
• randomized control trail
• Cataract
• intraocular lens
• optical low-coherence reflectometry
• partial coherence interferometry
• Corneal blindness
• community eye banking
• keratoplasty
• Corneal deposits
• in vivo confocal microscopy
• monoclonal gammopathy of undetermined significance
• multiple myeloma
• Imaging
• optical coherence tomography
• neovascular age-related macular degeneration
• Choroidal neovascular membrane
• punctate inner choroidopathy
• young adult male
• unilateral PIC
• Systemic lupus erthematosus
• SLE- retinopathy
• Cataract
• carotid-cavernous fistula
• proptosis
• small incision cataract surgery
• Blepharophimosis
• clefting syndrome
• epicanthus inversus
• Michels syndrome
• Bleb associated infections
• blebitis
• combined surgery
• releasable suture
• use of Mitomycin C