{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:11:40Z","timestamp":1790266300175,"version":"4.1.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum RWTH Aachen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologe"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Intraokulare Infektionen durch <jats:italic>Abiotrophia defectiva <\/jats:italic>sind sehr selten. Hier berichten wir von einer 57-j\u00e4hrigen Patientin, welche sich 3\u00a0Monate nach erfolgter komplikationsloser Kataraktoperation mit Implantation eines Glaukom-Gelstents am rechten Auge mit einer <jats:italic>Abiotrophia-defectiva-<\/jats:italic>assoziierten Endophthalmitis bei uns vorstellte. Die Patientin klagte zuvor \u00fcber eine R\u00f6tung im Bereich der nasal oberen Bindehaut des rechten Auges sowie \u00fcber Schmerzen 2\u00a0Wochen vor Auftreten der Endophthalmitis. Eine 2\u2011w\u00f6chige topische Steroidtherapie ohne Antibiotikaschutz brachte eine kurzfristige Besserung. Die Patientin stellte sich nun bei uns mit einem Hypopyon, einer akuten Visusverschlechterung und starken periokul\u00e4ren Schmerzen seit dem fr\u00fchen Morgen vor. Der Gelstent hatte spontan die Konjunktiva perforiert. Es erfolgte die unmittelbare Therapie mit lokaler und systemischer Antibiose. Sechs Stunden danach wurde eine Pars-plana-Vitrektomie mit intraokularer Gabe von Antibiotika durchgef\u00fchrt. Durch eine zeitnahe Therapie konnte in diesem Fall ein relativ benigner Verlauf erreicht werden. Im klinischen Alltag sollte bei Patienten, die sich nach glaukomchirurgischen Eingriffen mit akuter Visusverschlechterung und Schmerzen pr\u00e4sentieren, dringend an eine m\u00f6gliche spontane Bindehautperforation und Late-onset-Endophthalmitis gedacht werden. Zudem ist zu empfehlen, dass eine unklare Konjunktivitis nach Glaukomchirurgie immer antibiotisch abgedeckt und engmaschiger kontrolliert werden sollte.<\/jats:p>","DOI":"10.1007\/s00347-020-01077-7","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T16:02:57Z","timestamp":1582905777000},"page":"1229-1233","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Endophthalmitis nach Bindehautperforation eines Glaukom-Gelstentimplantates","Endophthalmitis after perforation of the conjunctiva by a\u00a0glaucoma gel-stent implant"],"prefix":"10.1007","volume":"117","author":[{"given":"Laila El","family":"Moussaoui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassin","family":"Djalali-Talab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Walter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Plange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kuerten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Fuest","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,28]]},"reference":[{"issue":"3","key":"1077_CR1","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1128\/CMR.00113-16","volume":"30","author":"ML Durand","year":"2017","unstructured":"Durand\u00a0ML (2017) Bacterial and fungal endophthalmitis. 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Kuerten und M.\u00a0Fuest geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}