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BRIEF COMMUNICATION
Year : 2014  |  Volume : 62  |  Issue : 9  |  Page : 958-960

An unusual presentation of Pseudomonas aeruginosa blebitis following combined surgery


Glaucoma Speciality Clinic, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Shabana Bharathi
Aravind Eye Hospital, Avinashi Road, Peelamedu, Coimbatore - 641 014, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.143947

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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.


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