Chien A M, Raber I M, Fischer D H, Eagle R C, Naidoff M A
Cornea Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107.
Ophthalmology. 1992 Apr;99(4):487-90. doi: 10.1016/s0161-6420(92)31923-2.
The authors report a case of Propionibacterium acnes endophthalmitis after intracapsular cataract extraction with implantation of an anterior chamber intraocular lens. The patient's chronic inflammation persisted for 5 years after cataract surgery despite treatment with pars plana vitrectomy, intraocular lens removal, topical and oral steroids, and topical fortified antibiotics. Fluctuations in the inflammation were paralleled by changes in the size and appearance of a white plaque on the posterior corneal surface. Anterior chamber tap cultures were positive for P. acnes after 8 days of incubation under anaerobic conditions. The inflammation was not controlled until the posterior corneal plaque, which was the presumed nidus of the chronic infection, was removed and the patient was treated with intravitreal and oral antibiotics.
作者报告了1例在囊内白内障摘除并植入前房型人工晶状体后发生痤疮丙酸杆菌性眼内炎的病例。尽管接受了玻璃体切割术、人工晶状体取出术、局部和口服类固醇以及局部强化抗生素治疗，但患者白内障手术后的慢性炎症仍持续了5年。炎症的波动与后角膜表面白色斑块的大小和外观变化同步。在前房穿刺液在厌氧条件下培养8天后，痤疮丙酸杆菌培养呈阳性。直到移除被认为是慢性感染病灶的后角膜斑块并对患者进行玻璃体内和口服抗生素治疗后，炎症才得到控制。
