Ramonas Krista M, Freilich Benjamin D
Department of Ophthalmology, Mount Sinai School of Medicine, New York, New York 10029, USA.
Am J Ophthalmol. 2003 Feb;135(2):228-9. doi: 10.1016/s0002-9394(02)01935-9.
To report the clinical findings and management of a case of endogenous endophthalmitis in a patient with bacterial endocarditis presenting with a septic metastasis to the iris.
Observational case report.
Review of clinical findings and treatment.
A 37-year-old intravenous drug user hospitalized with bacterial endocarditis secondary to methicillin-sensitive Staphylococcus aureus bacteremia presented with a painful red left eye, hypopyon, and iris abscess. Roth spots were noted in the fundus of the right eye. Aqueous culture was positive for methicillin-sensitive S aureus. The patient was treated with intravitreal, topical, and intravenous antibiotics. The hypopyon and iris abscess resolved within 2 weeks, and the patient achieved a final visual acuity of 20/25 in the left eye.
Septic metastasis to the iris is a rare occurrence. To our knowledge this is the first reported case of an iris abscess secondary to bacterial endocarditis.
报告1例患有细菌性心内膜炎的患者发生内源性眼内炎，并伴有虹膜脓毒性转移的临床发现及处理情况。
观察性病例报告。
回顾临床发现及治疗情况。
一名37岁的静脉吸毒者因对甲氧西林敏感的金黄色葡萄球菌菌血症继发细菌性心内膜炎而住院，出现左眼疼痛、眼红、前房积脓及虹膜脓肿。右眼眼底可见Roth斑。房水培养对甲氧西林敏感的金黄色葡萄球菌呈阳性。患者接受了玻璃体内、局部及静脉抗生素治疗。前房积脓和虹膜脓肿在2周内消退，患者左眼最终视力达到20/25。
虹膜脓毒性转移较为罕见。据我们所知，这是首例报告的继发于细菌性心内膜炎的虹膜脓肿病例。
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