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  • Title: Propionibacterium acnes endophthalmitis in Ahmed glaucoma valve.
    Author: Gutiérrez-Díaz E, Montero-Rodríguez M, Mencía-Gutiérrez E, Fernández-González MC, Pérez-Blázquez E.
    Journal: Eur J Ophthalmol; 2001; 11(4):383-5. PubMed ID: 11820313.
    Abstract:
    PURPOSE: To report a case of Propionibacterium acnes endophthalmitis in a patient with an Ahmed glaucoma valve. CASE REPORT: A nine-year-old boy with bilateral congenital glaucoma, with an Ahmed glaucoma valve implanted in the left eye, had recurrent conjunctival dehiscence and endophthalmitis. RESULTS: Vitreous cultures demonstrated the presence of Propionibacterium acnes. CONCLUSIONS: This is the first reported case of Propionibacterium acnes endophthalmitis in an Ahmed glaucoma valve and the second one in a glaucoma drainage device. We strongly recommend using a patch graft to prevent and treat tube exposure. Conjunctival grafts may be useful to close the conjunctiva when there is marked scarring to prevent patch exposure and melting or extrusion.
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