EARLY SUCCESSFUL TREATMENT OF POSTOPERATIVE NECROTIZING PSEUDOMONAS SCLERITIS AFTER TRABECULECTOMY

Purpose: The authors describe a patient who developed pseudomonas scle ritis after a routine trabeculectomy. Method: The patient underwent tr abeculectomy for poorly controlled intraocular pressure and progressiv e visual field loss. On the second postoperative date he developed sev ere pain, significant anterior chamber reaction, and hypotony. Scleral cultures taken at the time of surgical choroidal drainage grew pseudo monas aeruginosa. Result: Surgical reconstruction of the necrotic scle ral area and intensive antibiotic treatment lead to a successful outco me. Conclusion: Early recognition and aggressive treatment wtih antibi otics initially, followed by surgical debridement of necrotic tissue, resulted in an unexpected successful outcome in a patient with pseudom onas scleritis.