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July 1995

Echographic Findings in Infectious Endophthalmitis-Reply

Author Affiliations

Los Angeles, Calif

Arch Ophthalmol. 1995;113(7):851-852. doi:10.1001/archopht.1995.01100070021011

In reply  We agree with Dr Baum's comments regarding the possibility that, in some cases, infected filtering blebs may lead to an initial anterior segment infectious inflammation followed by vitreous involvement. However, filtering blebs were not detected in any of our eight study eyes that initially had clear vitreous and in which vitreous opacities subsequently developed.1 In addition, none of these eyes had either previous nonsurgical trauma or glaucoma filtration surgery. Even though we were unable to confirm the presence of an infected filtering bleb in any of our study eyes, it is possible that either an undetected or a subclinical filtering bleb infection may have been present in some of our cases. In the one eye with β-hemolytic streptococcal endophthalmitis, scleral necrosis was present at the cataract wound (which had positive findings on the Seidel test with tactile pressure). Although no filtering bleb was present, because of the

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