Jager G V, Brinkman C J, van Tilburg C J, Beekhuis W H, Joosse M V
Department of Ophthalmology, Academic Medical Center, Amsterdam, The Netherlands.
Doc Ophthalmol. 1992;82(1-2):109-14. doi: 10.1007/BF00157000.
We performed a retrospective study on 45 patients admitted to the Rotterdam Eye Hospital and the Ophthalmic Department of the Academic Medical Center in Amsterdam with pseudophakic endophthalmitis. Vitreous loss during cataract extraction was associated with a significantly increased risk of postoperative endophthalmitis when compared with uncomplicated cataract extraction (p < 0.0001). The incidence of pseudophakic endophthalmitis in diabetic patients was not significantly higher as compared to non-diabetic patients. Vitrectomy in the treatment of postoperative endophthalmitis did not improve the final visual acuity, probably because of selection bias. Methicillin and cephazolin, used intravitreally against gram-positive organisms, failed to provide a good coverage for endophthalmitis due to Staphylococcus epidermidis.
我们对鹿特丹眼科医院和阿姆斯特丹学术医疗中心眼科收治的45例人工晶状体眼眼内炎患者进行了一项回顾性研究。与无并发症的白内障摘除术相比，白内障摘除术中玻璃体丢失与术后眼内炎风险显著增加相关（p < 0.0001）。糖尿病患者人工晶状体眼眼内炎的发生率与非糖尿病患者相比无显著升高。玻璃体切割术治疗术后眼内炎并未改善最终视力，可能是由于选择偏倚。玻璃体内注射用于对抗革兰氏阳性菌的甲氧西林和头孢唑林，未能有效覆盖表皮葡萄球菌所致的眼内炎。
