An unusual presentation of Pseudomonas aeruginosa blebitis following combined surgery.

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Date
2014-09
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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.
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Keywords
Bleb associated infections, blebitis, combined surgery, releasable suture, use of Mitomycin C
Citation
Bharathi Shabana, Raman Ganesh V, Mohan Dhavalikar Mrunali, Krishnan Anjana. An unusual presentation of Pseudomonas aeruginosa blebitis following combined surgery. Indian Journal of Ophthalmology. 2014 Sept ; 62 (9): 958-960.