正畸相关性外伤性眼内炎的成功治疗。
Successful treatment of orthodontic-associated traumatic endophthalmitis.
作者信息
Wirostko William J, Kivlin Jane D
机构信息
Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, USA.
出版信息
Am J Ophthalmol. 2002 Sep;134(3):449-50. doi: 10.1016/s0002-9394(02)01589-1.
PURPOSE
To report successful management of orthodontic-associated traumatic endophthalmitis.
DESIGN
Interventional case report.
METHODS
A 17-year-old boy developed endophthalmitis after a penetrating corneal injury produced during removal of an orthodontic wire. Treatment included pars plana vitrectomy (PPV) with broad-spectrum intravitreal and systemic antibiotics.
RESULTS
Clinical endophthalmitis resolved after PPV with injection of intravitreal vancomycin (1 mg) and ceftazidime (2.25 mg), along with oral ciprofloxacin (750 mg twice daily). Microbiologic cultures of intraocular samples produced Staphylococcus epidermidis, Streptococcus viridans, and Lactobacillus species. Visual acuity improved to 20/20.
CONCLUSIONS
Orthodontic-associated endophthalmitis can involve multiple organisms. It can be successfully treated with current treatment modalities, including PPV, intravitreal antibiotics, and systemic antibiotics.
目的
报告正畸相关创伤性眼内炎的成功治疗。
设计
介入性病例报告。
方法
一名17岁男孩在拆除正畸钢丝时发生穿透性角膜损伤后发展为眼内炎。治疗包括玻璃体切割术（PPV）联合广谱玻璃体内及全身抗生素治疗。
结果
在玻璃体切割术并注射玻璃体内万古霉素（1毫克）和头孢他啶（2.25毫克）以及口服环丙沙星（每日两次，每次750毫克）后，临床眼内炎得到缓解。眼内样本的微生物培养发现表皮葡萄球菌、草绿色链球菌和乳酸杆菌属。视力提高到20/20。
结论
正畸相关眼内炎可涉及多种微生物。采用包括玻璃体切割术、玻璃体内抗生素和全身抗生素在内的当前治疗方式可成功治疗该病。
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