外伤性晶状体脓肿：临床描述与转归

Traumatic lenticular abscess: clinical description and outcome.

作者信息

Rajaraman Revathi, Lalitha Prajna, Raghavan Anita, Palanisamy Manikandan, Prajna Namperumalsamy Venkatesh

机构信息

Cornea & Refractive Surgery Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, India.

出版信息

Am J Ophthalmol. 2007 Jul;144(1):144-6. doi: 10.1016/j.ajo.2007.02.040.

DOI:10.1016/j.ajo.2007.02.040

PMID:17601443

Abstract

PURPOSE

To analyze cases with posttraumatic lenticular abscess and study the etiology, clinical presentation, management, and outcome.

DESIGN

Retrospective case series.

METHODS

Seventeen eyes of 17 patients with traumatic lenticular abscesses were managed with extracapsular cataract extraction after aspirating the abscess.

RESULTS

The mean age of the patients was 40.3 years, and males constituted 82%. The mean time to presentation after injury was 14.35 days (range, one to 60 days), and the patients had a mean follow-up of 125.94 days (range, 21 to 300 days). Culture of the lenticular abscess revealed bacterial growth in eight cases (47%) and fungi in four cases (23.5%). In five (29.4%) cases, culture was negative. Staphylococcus epidermidis grew in seven cases (41%). Thirteen eyes (77%) had best-corrected visual acuity better than 20/120.

CONCLUSIONS

Surgical removal of the abscess, with systemic and local antimicrobial treatment is effective in cases of posttraumatic intralenticular abscess.

摘要

目的

分析创伤后晶状体脓肿病例，研究其病因、临床表现、治疗及预后。

设计

回顾性病例系列研究。

方法

对17例创伤性晶状体脓肿患者的17只眼，在抽吸脓肿后行白内障囊外摘除术。

结果

患者平均年龄40.3岁，男性占82%。受伤后至就诊的平均时间为14.35天（范围1至60天），患者平均随访125.94天（范围21至300天）。晶状体脓肿培养显示8例（47%）有细菌生长，4例（23.5%）有真菌生长。5例（29.4%）培养结果为阴性。表皮葡萄球菌在7例（41%）中生长。13只眼（77%）最佳矫正视力优于20/120。