ArticleAmerican journal of ophthalmology case reports2026
Panophthalmitis and necrotizing fasciitis following glaucoma drainage device surgery: A case report.
Article in American journal of ophthalmology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Post-surgical panophthalmitis and necrotizing fasciitis are rare but potentially sight- and life-threatening complications requiring urgent treatment. We report a case of invasive Group A Streptococcus infection following combined cataract and Ahmed Glaucoma Valve implantation surgery. Observations: A 69-year-old man with advanced neovascular glaucoma, diabetes, hypertension, and atrial fibrillation underwent uneventful cataract surgery with intraocular lens placement and glaucoma drainage device implantation using a donor scleral patch. On postoperative day (POD) zero, the graft was adherent with intact conjunctival closure. By POD4, he presented with fever, confusion, orbital pain, swelling, chemosis, and purulent discharge, and was found to be in septic shock. Imaging showed exophthalmos, periocular swelling, fat stranding, and lateral rectus thickening. Examination revealed light perception vision, relative afferent pupillary defect, hypopyon, and vitreous haze. Blood and conjunctival cultures grew Group A Streptococcus. Despite intravenous and topical antibiotics, infection progressed. He underwent device explantation and subsequent enucleation with silicone implant, partial dacryoadenectomy, conformer placement, and temporary tarsorrhaphy. Orbital healing was satisfactory with resolution of infection and pain. Hospital course was complicated by aspiration pneumonia, Conclusions: This case documents exogenous panophthalmitis and necrotizing fasciitis following glaucoma drainage device implantation caused by invasive Group A Streptococcus. The case highlights the aggressive nature of infection and underscores the importance of early recognition, aggressive management, and careful postoperative monitoring in high-risk patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.