Endophthalmitis in Aphakic Patients with Unplanned Filtering Blebs Wearing Contact Lenses

A. R. Bellows, James P McCulley

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Four female patients with known unplanned filtering blebs following cataract surgery developed endophthalmitis, two weeks to 30 months after being fit with corneal contact lenses. Three patients were wearing hard contact lenses and one wore a soft lens. Significant blepharoconjunctivitis was present and treated in two patients, but intraocular infection was not averted. When endophthalmitis was diagnosed, all patients had clinical evidence of a bleb infection as well as hypopyon. Despite aggressive medical therapy, two eyes required enucleation while two eyes survived with good vision. We recommend that eyes that have unplanned filtering blebs following cataract surgery should not have a contact lens inserted until the blebs have been closed.

Original languageEnglish (US)
Pages (from-to)839-843
Number of pages5
JournalOphthalmology
Volume88
Issue number8
DOIs
StatePublished - Jan 1 1981

Keywords

  • cataract surgery
  • contact lenses
  • endophthalmitis
  • infected filtering blebs
  • infection
  • unplanned filtering blebs

ASJC Scopus subject areas

  • Ophthalmology

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