Hollander David A, Dodds Emilio M, Rossetti Silvia B, Wood Irmgard S, Alvarado Jorge A
Department of Ophthalmology, University of California, San Francisco, California, USA.
Am J Ophthalmol. 2004 Nov;138(5):878-9. doi: 10.1016/j.ajo.2004.05.065.
To report a case of Propionibacterium acnes endophthalmitis following uncomplicated cataract extraction with bacterial sequestration in a preexisting Molteno's drainage implant.
Interventional case report.
A 7-year-old girl with congenital glaucoma and a preexisting Molteno's drainage implant developed anterior nongranulomatous uveitis 4 months following cataract surgery. P. acnes endophthalmitis was diagnosed by polymerase chain reaction, Southern blot, and electron microscopy.
Extraction of the Molteno's implant was required to control the persistent intraocular inflammation and to convert the results of polymerase chain reaction and Southern blot testing of aqueous sample for P. acnes from positive to negative.
P. acnes may be sequestered in glaucoma implants, potentially requiring implant removal to treat cases of P. acnes endophthalmitis.
报告1例白内障摘除术后丙酸杆菌性眼内炎病例，该病例中细菌隐匿于先前存在的莫尔滕诺引流植入物中，且白内障摘除手术未出现并发症。
介入性病例报告。
一名患有先天性青光眼且植入了莫尔滕诺引流植入物的7岁女孩，在白内障手术后4个月发生了前葡萄膜炎，且无肉芽肿形成。通过聚合酶链反应、Southern印迹法和电子显微镜检查确诊为痤疮丙酸杆菌性眼内炎。
需要取出莫尔滕诺植入物，以控制持续的眼内炎症，并使房水样本中痤疮丙酸杆菌的聚合酶链反应和Southern印迹检测结果由阳性转为阴性。
痤疮丙酸杆菌可能隐匿于青光眼植入物中，治疗痤疮丙酸杆菌性眼内炎可能需要取出植入物。
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