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Revista Médica Electrónica

On-line version ISSN 1684-1824

Abstract

HERNANDEZ MARTINEZ, Rocío et al. Blebytis associated to endophthalmitis. Presentation of a case. Rev. Med. Electrón. [online]. 2013, vol.35, n.1, pp.62-72. ISSN 1684-1824.

The endophthalmitis is known a one of the most serious complications feared by the ophthalmologists. 70 % of them appear after a surgical procedure. The infections related with the filtration bulla in the glaucoma surgery are infrequent and represent 0,1 % of all the endophthalmitis, though they are considered potentially serious. They comprehend the blebytis, a term introduced to describe the infection of the filtration bulla, with mucous purulent aspect, accompanied with a medium activity in the anterior chamber and lacking vitritis. This last sign is the most important difference with the blebytis associated to endophthalmitis, in which the vitreous humor is involved, associated to hypopyon and severe visual loss. We present three patients operated by glaucoma filtrating surgery who presented a picture of blebytis associated to endophthalmitis in the other two, needing topical treatment plus intravitreous and surgical, respectively. If an opportune and adequate diagnosis and treatment is made in these infrequent but devastating entities, the serious risks and complications are minimized, obtaining a better visual prognosis. Those were the reasons leading the authors to present these cases.

Keywords : endophthalmitis; phlebitis; glaucoma.

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