Retinal cases & brief reports · 2026
Subconjunctival povidone-iodine in the treatment of bleb-associated endophthalmitis.
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Zafar Sidra, Berrocal Luis Acaba, Lee Moon J, Kim Eric, Wibbelsman Turner D, Calotti Martin, Patel Samir N, Yonekawa Yoshihiro, Razeghinejad Reza, Deaner Jordan D
Аннотация
PURPOSE: To describe a case of bleb-associated endophthalmitis managed with adjunct subconjunctival injection of 0.5%/0.05 mL of povidone-iodine (PI).
METHODS: Case report.
RESULTS: An 81-year-old man presented with 3 days of pain and vision loss in his left eye. His overall presentation was consistent with bleb-associated endophthalmitis which was managed initially with vitreous tap and intravitreal antibiotics along with fortified antibiotics and topical steroids. At the patient's 3-day follow-up, 0.5%/0.05 mL of povidone-iodine (PI) was injected into the bleb with rapid resolution of purulence within the bleb in 48 hours. No recurrences or adverse events were noted at the 4-week follow-up.
DISCUSSION: Subconjunctival PI may represent a useful option in treating cases of bleb-associated endophthalmitis.
METHODS: Case report.
RESULTS: An 81-year-old man presented with 3 days of pain and vision loss in his left eye. His overall presentation was consistent with bleb-associated endophthalmitis which was managed initially with vitreous tap and intravitreal antibiotics along with fortified antibiotics and topical steroids. At the patient's 3-day follow-up, 0.5%/0.05 mL of povidone-iodine (PI) was injected into the bleb with rapid resolution of purulence within the bleb in 48 hours. No recurrences or adverse events were noted at the 4-week follow-up.
DISCUSSION: Subconjunctival PI may represent a useful option in treating cases of bleb-associated endophthalmitis.