Uy Harvey S, Leuenberger Edgar U, de Guzman Blanquita B, Natividad Filipinas F
Sentro Oftalmologico Jose Rizal, University of the Philippines, Manila, Philippines.
Ocul Immunol Inflamm. 2007 Jul-Aug;15(4):359-61. doi: 10.1080/09273940701396697.
An interventional case report is described of a patient with chronic postoperative endophthalmitis caused by the gram-negative aerobic rod Pseudomonas luteola. A 61-year-old developed slowly progressive blurring of vision, hypopyon, and vitritis following cataract surgery. Diagnostic vitrectomy and intraocular lens explantation were performed. The undiluted vitreous samples and explanted lens were analyzed. Aerobic cultures revealed moderate growth of P. luteola. The patient responded to intravitreal injections of piperacillin/tazobactam and oral trimethoprim/sulfamethoxasole. Best-corrected visual acuity improved from hand motions to 20/40. A repeat anterior chamber tap was negative. P. luteola may be a relatively nonvirulent cause of chronic endophthalmitis. Good visual outcomes may be obtained with appropriate therapy.
本文描述了一例由革兰氏阴性需氧杆菌浅黄假单胞菌引起的慢性术后眼内炎患者的介入病例报告。一名61岁患者在白内障手术后出现视力逐渐缓慢下降、前房积脓和玻璃体炎。进行了诊断性玻璃体切除术和人工晶状体摘除术。对未稀释的玻璃体样本和摘除的晶状体进行了分析。需氧培养显示浅黄假单胞菌中度生长。患者对玻璃体内注射哌拉西林/他唑巴坦和口服甲氧苄啶/磺胺甲恶唑有反应。最佳矫正视力从手动提高到20/40。再次进行前房穿刺结果为阴性。浅黄假单胞菌可能是慢性眼内炎相对无毒力的病因。适当治疗可获得良好的视力预后。
