Houtmann I, Bacin F, Amara-Allieu S, Cambon M, Bellamy J P, Mougeot G
Service d'Ophtalmologie, Hôpital Gabriel Montpied, CHRU, Clermont-Ferrand.
J Fr Ophtalmol. 1998 Dec;21(10):764-8.
Exogenous fungal endophthalmitis is a rare postoperative and posttraumatic complication with, often, a dreadful prognosis. We report one case of Absidia corymbifera endophthalmitis after penetrating injury with a retained intraocular vegetable foreign body. We focus on the risk factors for the development of fungal endophthalmitis (vegetable foreign body, corticotherapy) and the importance of ocular fluid samples for stain and appropriate culture. In this case, the treatment associating contaminated tissue extraction and systemic and intravitreal administration of antifungal agents was efficient.
外源性真菌性眼内炎是一种罕见的术后及创伤后并发症,通常预后不佳。我们报告一例因眼内植物性异物存留穿透伤后发生的伞枝犁头霉眼内炎。我们着重探讨真菌性眼内炎发生的危险因素(植物性异物、皮质类固醇治疗)以及眼内液样本进行染色和适当培养的重要性。在此病例中,联合污染组织清除及全身和玻璃体内抗真菌药物给药的治疗方法是有效的。