Stokes John, Wright Mark, Ramaesh Kanna, Smith Colin, Dhillon Baljean
Princess Alexandra Eye Pavilion, Edinburgh, Scotland, United Kingdom.
J Cataract Refract Surg. 2003 Sep;29(9):1827-30. doi: 10.1016/s0886-3350(03)00349-3.
We present 2 elderly patients who developed necrotizing scleritis after cataract extraction in which the wound was sutured with polyester. In the first case, a 73-year-old woman who had right phacoemulsification via a limbal incision developed necrotizing scleritis 8 months after surgery. The eye became progressively painful and phthisical, necessitating enucleation. Microscopic examination of the enucleated globe showed a predominantly lymphocytic infiltration of the ocular tissues with no evidence of an infectious agent. In the second case, a 78-year-old woman had bilateral extracapsular cataract extraction through a limbal incision closed with a polyester suture. The patient presented 3 years later with bilateral necrotizing sclerokeratitis. No underlying systemic vasculitis or autoimmune condition was identified in either patient. To our knowledge, the association of necrotizing scleritis after intraocular surgery and polyester fiber suture material (Mersilene) has not been described.
我们报告了2例老年患者，他们在白内障摘除术后发生了坏死性巩膜炎，手术伤口用聚酯缝合。第一例患者是一名73岁女性，通过角膜缘切口行右眼超声乳化白内障吸除术，术后8个月发生坏死性巩膜炎。眼睛逐渐疼痛并萎缩，需要摘除眼球。对摘除眼球的显微镜检查显示，眼组织主要为淋巴细胞浸润，未发现感染病原体。第二例患者是一名78岁女性，通过角膜缘切口行双侧白内障囊外摘除术，并用聚酯缝线缝合切口。3年后，该患者出现双侧坏死性角膜巩膜炎。两名患者均未发现潜在的系统性血管炎或自身免疫性疾病。据我们所知，眼内手术后坏死性巩膜炎与聚酯纤维缝合材料（涤纶）之间的关联尚未见报道。
