Biofilm and Scleral Buckle-associated Infections

Holland, Simon; Pulido, José S.; Miller, Darlene; Ellis, B. D.; Alfonso, Eduardo C.; Scott, Michael; Costerton, J. W.

doi:10.1016/s0161-6420(91)32199-7

Cited by 91 publications

(51 citation statements)

References 15 publications

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“…Various organisms had been cultured from removed scleral buckling elements and the most frequently isolated bacteria were S. epidermidis, coagulasenegative staphylococci, S. aureus, corynebacteria, Mycobacterium chelonei, and Proteus mirabilis (8). Staphylococcus aureus is a common colonizer of the eyelid margins and frequently causes blepharitis or orbital cellulitis (9).…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Bastion¹

2017

JSA

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Scleral buckle placement is a well-established technique for the treatment of primary rhegmatogenous retinal detachment. Complications associated with scleral buckle are uncommon and its presentations can be vary. We report a case of recurrent orbital cellulitis with anterior segment ischemia following a forgotten episode of previous scleral buckling surgery, presenting with blurring of vision, redness and swelling of the lids. The presence of scleral buckle was detected by detailed examination and confirmed by orbital imaging. Orbital infection and rubeosis iridis were successfully treated with scleral buckle removal, intravenous antibiotics and intracameral ranibizumab. However, the retinal detachment recurred and the visual acuity deteriorated to light perception. There was no further intervention as the family declined in view of her old age. In cases of recurrent orbital infection, detailed clinical examination is important to look for evidence of ocular prostheses as a source of infection. Orbital imaging is an adjunct for making the diagnosis especially in cases where history is unreliable. Anterior segment ischemia due to scleral buckle responds well to buckle removal with ranibizumab injection.

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Section: Discussionmentioning

confidence: 99%

“…Infection of scleral buckle remains a significant complication and can results in orbital infection. Almost all cases are resistant to antimicrobial treatment and removal of buckling elements is required for resolution (3). Anterior segment necrosis is another serious complication of scleral buckle.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Bastion¹

2017

JSA

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“…Biofilms can also cause persistent and difficult to control infection. Others silicone materials used in ophthalmological routine can develop biofilm with serious infection, as the silicone band for retinopexy, lachrymal plug, intraocular lens and contact lens (7,9) . The limitation of this study is in the fact that it researched only the morphological aspect of the silicone tubes in laboratory.…”

Section: Discussionmentioning

confidence: 99%

Microscopic alterations in silicone tubes surface after application of ophthalmological lubricants

Sousa¹,

Dittrich²,

Verna³

et al. 2015

Revista Brasileira De Oftalmologia

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ABSTRACT). Um tubo não foi exposto a nenhum lubrificante, sendo usado como controle. Os tubos foram observados e fotografados após 2 horas, 30 dias, 45 dias antes e após limpeza da sua superfície e lúmen. Os seguintes aspectos foram observados: superfície (regularidade, transparência, quantidade, tamanho e formato das substâncias) e lúmen (obstrução). Resultados: Controle -superfície irregular com poros. Após 2 horas: Grupo 1 -superfície irregular com presença de filme; Grupos 2,3 e 5 -quantidade abundante e irregular de pomada na superfície; Grupo 4 -discreta modificação da superfície; Grupo 6 -crescimento de estrutura pigmentada (marrom) com filamentos no lúmen, com discreto filme na superfície. Trinta dias: Grupos 1, 4 e 5 -aumento do filme irregular na superfície; Grupo 2 -crosta com linhas horizontais; Grupo 3 -diminuição do filme superficial; Grupo 4 -crosta menos evidente; Grupo 6 -aumento da estrutura vista com 2 horas de exposição, aspect arboriforme. Quarenta e cinco pré-limpeza: Grupo 4 -diminuição da crosta superficial; Grupo 6 -aumento da estrutura arboriforme; os demais grupos sem alterações. Quarenta e cinco dias pós-limpeza: Grupo 1 e 5 -discreta diminuição da crosta superficial; Grupos 2, 3 e 4 -modificações mantidas; Grupo 6 -a estrutura dentro do lúmen não foi visualizada, superfície limpa sem evidência de filme. Conclusão: As modificações na morfologia microscópica na superfície e lúmen de tubos de silicone podem ocorrer após contato com determinados lubrificantes oftalmológicos.Descritores: Tubos de silicone; Alterações microscópicas; LubrificantesThe authors declare no conflicts of interest ---

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“…Eine mogliche Erklarung dafur konnte in einer Biofilm-Produktion der Nocardien liegen. Holland et al [7] konnten diese fur andere Keimspecies in Silikonschaum-Plomben nachweisen. Die Bakterien liegen eingebettet in den Biofilm and sind damit sehr gut vor der korpereigenen Abwehr and auch antibiotisch wirkenden Substanzen geschutzt.…”

Section: Kasuistikunclassified

“…Therapeutisch wird initial meist eine intensive lokale and systemische antibiotische Therapie versucht, die sehr haufig nicht den gewunschten Erfolg zeigt. In den nteisten Fallen kann erst durch eine Plombenexplantation die Abheilung der Infektion erreicht werden [6,7]. Wir berichten Ober den Fall einer erst nach 11 Jahren aufgetretenen Plombeninfektion, hervorgerufen durch Nocardia asteroides.…”

Section: Introductionunclassified

Plombeninfektion durch Nocardia asteroides

Egger

Alzner

Hell³

et al. 2000

Spektrum Augeheilkd

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Zusammenfassung.Postoperative Plombeninfektionen stellen seltene, aber das Sehvermogen massiv bedrohende okulare Infektionen dar. Die am haufigsten als Verursacher isolierten Keime sind koagulase negative Staphylokokken and Staphylococcus aureus. Meist manifestieren sich die Infektionen innerhalb der ersten Monate postoperativ and sind -trotz intensiver lokaler and auch systemischer antibiotischer Therapie -persistierend. In der Regel kann erst nach Plombenexplantation eine Heilung erreicht werden.Durch Nocardien hervorgerufene okulare Infektionen sind insgesamt sehr selten. In der Literatur wird uber Nocardia assoziierte Keratitis, Skleritis, Endophthalmitis and Dacryocystitis berichtet.Wir berichten uber einen Fall von Nocardia asteroides assoziierter Plombeninfektion, aufgetreten 11 Jahre postoperativ.Schliisselworter: Nocardia asteroides, Plombeninfektion. Scleral buckle infection due to Nocardia asteroidesSummary. Infection after placement of a scleral buckle remains a significant complication. Infections tend to be persistent, and the most frequently isolated microorganisms have been Staphylococcus epidermidis and Staphylococccus aureus. Management includes use of local and systemic antibiotics, although removal of the scleral buckle is usually necessary to eliminate infection. Nocardia asteroides related ocular infections are rare. Cases of Nocardia keratitis, scleritis, endophthalmitis and dacryocystitis have been reported. We report a case of Nocardia asteroides associated scleral buckle infection, manifesting 11 years after buckling procedure had been performed. We are not aware of any previous report of late scleral buckling infection due to Nocardia asteroides.

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Biofilm and Scleral Buckle-associated Infections

Cited by 91 publications

References 15 publications

Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Recurrent Orbital Cellulitis Secondary to the ‘Forgotten’ Scleral Buckle: A Case Report

Microscopic alterations in silicone tubes surface after application of ophthalmological lubricants

Plombeninfektion durch Nocardia asteroides

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