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白内障摘除术后早期急性无菌性虹膜炎。

Early acute aseptic iritis after cataract extraction.

作者信息

Allen H F, Grove A S

出版信息

Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 Jan-Feb;81(1):OP145-50.

PMID:1084068
Abstract

Severe iritis which occurs within the first five days after cataract extraction may be categorized as (1) bacterial endophthalmitis, (2) toxic iritis, or (3) aseptic iritis. These entities can sometimes be distinguished because of their clinical features. If bacterial endophthalmitis is suspected, anterior chamber paracentesis should be considered and appropriate antibiotic treatment should be initiated. Acute iritis may result from the introduction of toxic agents into the eye, and may follow the use of products sterilized with ethylene oxide. Early acute aseptic iritis probably occurs more often than has previously been recognized. Response to intensive anti-inflammatory treatment is usually prompt and dramatic. The judicious use of cryoextraction and the careful manipulation of intraocular tissues may minimize the incidence and the severity of postoperative inflammation.

摘要

白内障摘除术后头五天内发生的严重虹膜炎可分为

(1)细菌性眼内炎,(2)中毒性虹膜炎,或(3)无菌性虹膜炎。有时可根据其临床特征区分这些类型。如果怀疑是细菌性眼内炎,应考虑前房穿刺并开始适当的抗生素治疗。急性虹膜炎可能由眼内引入毒性物质引起,可能继发于使用环氧乙烷灭菌的产品之后。早期急性无菌性虹膜炎的发生可能比以往认为的更为常见。强化抗炎治疗通常能迅速取得显著效果。明智地使用冷冻摘除术并小心操作眼内组织,可将术后炎症的发生率和严重程度降至最低。

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Early acute aseptic iritis after cataract extraction.白内障摘除术后早期急性无菌性虹膜炎。
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Outbreak of Empedobacter brevis endophthalmitis after cataract extraction.白内障摘除术后短稳杆菌性眼内炎暴发。
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