Lopez A
J Am Optom Assoc. 1991 Jul;62(7):552-62.
Endophthalmitis has typically been described as occurring within the first 24-48 hours postoperatively and having a rapid progression. Classical signs and symptoms include intense ocular pain, decreased visual acuity, and exaggerated inflammatory response not commensurate with the level of the patient's recuperative process. This article presents a case wherein a patient, following cataract surgery and implant, developed endophthalmitis of a more indolent nature with a later onset of symptomatology and associated sequelae. Reasons this delayed onset of symptoms may occur are discussed. Etiological considerations, current treatment modalities, and management protocol are reviewed.
眼内炎通常被描述为在术后最初24至48小时内发生且进展迅速。典型的体征和症状包括剧烈眼痛、视力下降以及与患者恢复过程程度不相称的过度炎症反应。本文介绍了一例患者,在白内障手术及植入人工晶体后,发生了一种病程较为隐匿、症状出现较晚且伴有相关后遗症的眼内炎。文中讨论了这种症状延迟出现可能发生的原因。对病因学考量、当前的治疗方式及管理方案进行了综述。