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February 1992

Late Infectious Endophthalmitis From Exposed Glaucoma Setons

Author Affiliations

New York, NY

Arch Ophthalmol. 1992;110(2):174-175. doi:10.1001/archopht.1992.01080140024014

Seton implantation has become increasingly useful in the surgical management of glaucoma.1 Complications of this surgery include those common to any filtration surgery, such as cataract, choroidal effusion or hemorrhage, early or late endophthalmitis, retinal detachment, or Tenon cyst and others unique to the presence of an implanted foreign body, such as extrusion or late erosion through the overlying sclera and/or conjunctiva and Tenon's fascia.1 A single case of early postoperative endophthalmitis has also been reported.2 We treated two patients for late endophthalmitis following external erosion of the implant through the conjunctiva. To our knowledge, this complication has not been previously reported.

Report of Cases. 

—Case 1.  —A 65-year-old woman with neovascular glaucoma following an ischemic central retinal vein occlusion underwent implantation of a shorttailed Krupin-Denver valve beneath a partial-thickness scleral flap in her right eye in 1984. Preoperative visual acuity was hand motions. During the

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