Amato Josh E, Lee Dave H, Santos Byron A, Akduman Levent
Saint Louis University Eye Institute, MO 63104, USA.
Ocul Immunol Inflamm. 2005 Apr-Jun;13(2-3):245-7. doi: 10.1080/09273940590928562.
A 64-year-old woman presenting with the complaint of 'white stuff' in her left eye one day after intravitreal triamcinolone injection for chronic pseudophakic cystoid macular edema after cataract extraction and anterior chamber intraocular lens implant is presented.
Differential diagnosis included post-injection endophthalmitis versus 'steroid hypopyon.'
The patient was observed closely and the hypopyon cleared in four days. Three weeks after the injection, her visual acuity had improved from 20/200 to 20/70 with complete resolution of the macular edema.
Patients having no capsular barrier presenting with hypopyon one day after IVTA may be observed closely for a few days for resolution of hypopyon prior to being treated as endophthalmitis.
报告一名64岁女性，在白内障摘除及前房人工晶状体植入术后因慢性假晶状体性囊样黄斑水肿接受玻璃体内注射曲安奈德一天后，出现左眼“白色物质”的症状。
鉴别诊断包括注射后眼内炎与“类固醇性前房积脓”。
对患者进行密切观察，前房积脓在四天后消退。注射三周后，她的视力从20/200提高到20/70，黄斑水肿完全消退。
对于无晶状体囊屏障且在玻璃体内注射曲安奈德一天后出现前房积脓的患者，在按眼内炎治疗之前，可密切观察数天，等待前房积脓消退。
