曲安奈德辅助性前段玻璃体切除术后的感染性眼内炎

Postoperative infectious endophthalmitis after triamcinolone-assisted anterior vitrectomy.

作者信息

Lee Sang Mok, Shin Young Joo, Park Kyu Hyung

机构信息

Department of Ophthalmology, Gyeonggi Provincial Medical Center, Suwon Hospital, and Seoul National University College of Medicine, Seoul, Korea.

出版信息

J Cataract Refract Surg. 2007 Apr;33(4):731-2. doi: 10.1016/j.jcrs.2006.10.071.

DOI:10.1016/j.jcrs.2006.10.071

PMID:17397751

Abstract

Extracapsular cataract extraction and intraocular lens (IOL) implantation was performed in the left eye of a 64-year-old woman. Preoperative assessment showed a hypermature cataract in the left eye with visual acuity of hand movement. During IOL implantation, a posterior capsule rupture occurred in the inferior area. Triamcinolone was injected into the anterior chamber to visualize the vitreous and helped in thorough removal of the prolapsed vitreous. However, when postoperative infectious endophthalmitis developed, the signs and symptoms were vague. Careful examination, specific patient instructions, and close follow-up are necessary after a triamcinolone-assisted anterior vitrectomy.

摘要

对一名64岁女性的左眼进行了囊外白内障摘除术和人工晶状体（IOL）植入术。术前评估显示左眼为过熟期白内障，视力仅为手动。在植入人工晶状体过程中，下方区域发生了后囊破裂。向眼前房注射曲安奈德以观察玻璃体，并有助于彻底清除脱出的玻璃体。然而，术后发生感染性眼内炎时，体征和症状并不明显。在曲安奈德辅助下进行前部玻璃体切除术后，仔细检查、给予患者具体指导并密切随访是必要的。