{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:49Z","timestamp":1756425769611,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,26]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>There is an annual epidemic of viral conjunctivitis at the onset of the monsoon (rainy) season in North India. This affects a large population, with many patients developing ocular symptoms and then getting better without any treatment as there is no specific therapy for adenoviral infections. However, this creates a dangerous situation for patients with operated trabeculectomy with a filtering bleb as conjunctivitis can lead to blebitis and bleb-related endophthalmitis with super-added bacterial\/fungal infections. While the viral infection is self-limiting and most patients get well without treatment, urgent medical attention is required if patients with operated trabeculectomy develop this condition. It is important to educate all patients with operated glaucoma about the outbreak of conjunctivitis and explain the danger signs (like redness, sensitivity to light, vision decrease and pain, which require immediate medical attention and initiation of broad-spectrum antibiotics if a delay is anticipated in visiting the hospital.<\/jats:p>","DOI":"10.1136\/bcr-2023-258874","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T10:05:55Z","timestamp":1734516355000},"page":"e258874","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bleb-related endophthalmitis during an epidemic of viral keratoconjunctivitis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0057-9265","authenticated-orcid":false,"given":"Nitika","family":"Beri","sequence":"first","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1477-7975","authenticated-orcid":false,"given":"Saurabh","family":"Verma","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanuj","family":"Dada","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"2025082800133145000_17.12.e258874.1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jaapos.2017.08.008","article-title":"Patient demographic and microbiology trends in bacterial conjunctivitis in children","volume":"22","author":"Chen","year":"2018","journal-title":"J AAPOS"},{"key":"2025082800133145000_17.12.e258874.2","doi-asserted-by":"crossref","first-page":"732","DOI":"10.4103\/ijo.IJO_626_20","article-title":"Epidemic Keratoconjunctivitis in India: Trend Analysis and Implications for Viral Outbreaks","volume":"68","author":"Das","year":"2020","journal-title":"Indian J Ophthalmol"},{"key":"2025082800133145000_17.12.e258874.3","doi-asserted-by":"crossref","first-page":"570","DOI":"10.3928\/1542-8877-19911001-06","article-title":"Risk Factors Associated With Late Infection of Filtering Blebs and Endophthalmitis","volume":"22","author":"Ashkenazi","year":"1991","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"2025082800133145000_17.12.e258874.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)00965-X"},{"key":"2025082800133145000_17.12.e258874.5","first-page":"317","article-title":"Incidence of bleb-associated endophthalmitis in the United States","volume":"9","author":"Vaziri","year":"2015","journal-title":"Clin Ophthalmol"},{"key":"2025082800133145000_17.12.e258874.6","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1177\/112067210801800111","article-title":"Early and late endophthalmitis following trabeculectomy in a Chinese population","volume":"18","author":"Kuang","year":"2008","journal-title":"Eur J Ophthalmol"},{"key":"2025082800133145000_17.12.e258874.7","doi-asserted-by":"crossref","first-page":"20","DOI":"10.4103\/0974-9233.48862","article-title":"Bleb-related Endophthalmitis: Clinical Presentation, Isolates, Treatment and Visual Outcome of Culture-proven Cases","volume":"16","author":"Ba\u2019arah","year":"2009","journal-title":"Middle East Afr J Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:13:41Z","timestamp":1756365221000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,18]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2023-258874"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258874","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}