{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:47:00Z","timestamp":1778546820064,"version":"3.51.4"},"reference-count":15,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,28]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Extrusion of the scleral buckle is one of the complications patients may encounter undergoing the surgical treatment for retinal detachment. We present two cases of persistent <jats:italic>Pseudomonas<\/jats:italic>\n                  <jats:italic>a<\/jats:italic>\n                  <jats:italic>eruginosa<\/jats:italic>-related conjunctivitis which infected the silicone explant after retinal surgery. One of them is a 73-year-old Caucasian female patient with hyperaemia, intense pain and mucopurulent discharge. After the conjunctival swabs detected a <jats:italic>P. aeruginosa<\/jats:italic> infection, she started both topical and systemic treatment without any results; for this reason we opted for the buckle removal always under systemic therapy. The second case is an 84-year-old Caucasian female patient with fever, periorbital oedema, chronic ocular pain, hyperaemia and purulent discharge. <jats:italic>P. aeruginosa<\/jats:italic> has also been detected in this case. No improvement with topical and systemic treatment, so this convinced us to remove patient's buckles and to continue systemic therapy. Both cases had the complete resolution after surgery. It is important to quickly recognise exposed scleral buckles because they can be a source of infections and a rare but threatening cause of endophthalmitis.<\/jats:p>","DOI":"10.1136\/bcr-2019-232296","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T04:55:19Z","timestamp":1578545719000},"page":"e232296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Infectious conjunctivitis caused by <i>Pseudomonas<\/i>\n                  <i>a<\/i>\n                  <i>eruginosa<\/i> in infected and extrused scleral buckles"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7546-9178","authenticated-orcid":false,"given":"Alessandro","family":"Meduri","sequence":"first","affiliation":[{"name":"U.O.C. Ophthalmology, Universit\u00e0 degli Studi di Messina Facolta di Medicina e Chirurgia, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"De Maria","sequence":"additional","affiliation":[{"name":"U.O.C. Ophthalmology, Universit\u00e0 degli Studi di Messina Facolta di Medicina e Chirurgia, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice Antonella","family":"Severo","sequence":"additional","affiliation":[{"name":"U.O.C. Ophthalmology, Universit\u00e0 degli Studi di Messina Facolta di Medicina e Chirurgia, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Aragona","sequence":"additional","affiliation":[{"name":"U.O.C. Ophthalmology, Universit\u00e0 degli Studi di Messina Facolta di Medicina e Chirurgia, Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"2025082712584597000_13.1.e232296.1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1971.00990050649001"},{"key":"2025082712584597000_13.1.e232296.2","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1038\/eye.1992.124","article-title":"Removal of scleral explant elements: a 10-year retrospective study","volume":"6(Pt 6)","author":"Deutsch","year":"1992","journal-title":"Eye"},{"key":"2025082712584597000_13.1.e232296.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2011.11.001"},{"key":"2025082712584597000_13.1.e232296.4","first-page":"440","article-title":"Scleral buckle removal following retinal reattachment surgery: clinical and microbiologic aspects","volume":"24","author":"Smiddy","year":"1993","journal-title":"Ophthalmic Surg"},{"key":"2025082712584597000_13.1.e232296.5","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.ajo.2004.04.056","article-title":"Microbiologic spectrum and susceptibility of isolates in scleral buckle infection in India","volume":"138","author":"Pathengay","year":"2004","journal-title":"Am J Ophthalmol"},{"key":"2025082712584597000_13.1.e232296.6","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1974.01010010221007"},{"key":"2025082712584597000_13.1.e232296.7","doi-asserted-by":"crossref","first-page":"201","DOI":"10.3928\/15428877-20090301-22","article-title":"Microbiological spectrum of organisms isolated from explanted scleral buckles","volume":"40","author":"Wirostko","year":"2009","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"2025082712584597000_13.1.e232296.8","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1097\/00006982-199111040-00005","article-title":"Scleral buckle infections due to atypical mycobacteria","volume":"11","author":"Smiddy","year":"1991","journal-title":"Retina"},{"key":"2025082712584597000_13.1.e232296.9","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/IAE.0b013e3182979e4a","article-title":"Changing profile of organisms causing scleral buckle infections: a clinico-microbiological case series","volume":"34","author":"Mohan","year":"2014","journal-title":"Retina"},{"key":"2025082712584597000_13.1.e232296.10","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.anl.2018.11.004","article-title":"Endoscopic sinus surgery with and without computer assisted navigation: a retrospective study","volume":"46","author":"Galletti","year":"2019","journal-title":"Auris Nasus Larynx"},{"key":"2025082712584597000_13.1.e232296.11","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229376","article-title":"Endoscopic treatment of a periorbital fat herniation caused by spontaneous solution of continuity of the papyracea lamina","volume":"12","author":"Galletti","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082712584597000_13.1.e232296.12","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1080\/02713683.2016.1245423","article-title":"Outcomes of scleral buckle removal: experience from the last decade","volume":"42","author":"Moisseiev","year":"2017","journal-title":"Curr Eye Res"},{"key":"2025082712584597000_13.1.e232296.13","doi-asserted-by":"crossref","first-page":"36","DOI":"10.4103\/0974-620X.200694","article-title":"Scleral buckle infection by Serratia species","volume":"10","author":"Venkatesh","year":"2017","journal-title":"Oman J Ophthalmol"},{"key":"2025082712584597000_13.1.e232296.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00248-013-0297-x"},{"key":"2025082712584597000_13.1.e232296.15","doi-asserted-by":"crossref","DOI":"10.1186\/1869-5760-3-67","article-title":"Scleral buckle infections: microbiological spectrum and antimicrobial susceptibility","volume":"3","author":"Chhablani","year":"2013","journal-title":"J Ophthalmic Inflamm Infect"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:58:53Z","timestamp":1756324733000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,8]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-232296"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232296","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}