Abstract
Background: Non-infectious endophthalmitis related to suture material in cataract and corneal surgery has been widely reported in Ophthalmic literature. We report a very rare case of nylon suture related non-infectious endophthalmitis in trabeculectomy surgery.
Case presentation: We present a case of acute non-infectious endophthalmitis associated with trabeculectomy surgery. After emergency vitreous biopsy and subsequent broad-spectrum antibiotic and antifungal treatment, inflammation did not settle. Following negative culture and sensitivity reports, including PCR testing for any bacteria, virus or fungus, the ocular inflammation was controlled successfully with topical and systemic steroids, with an improvement in patient's vision. We present the photographic evidence of inflammatory exudate around the releasable suture on presentation and sequential photographs showing the resolution correlating with medications given.
Conclusions: This case highlights the importance of being vigilant against post-procedural infectious endophthalmitis. However, the possibility of non-infectious causes of intraocular inflammation should also be considered in any culture negative cases and managed appropriately with topical and systemic steroids.