视网膜手术后的感染性巩膜炎。
Infectious scleritis after retinal surgery.
作者信息
Rich Ryan M, Smiddy William E, Davis Janet L
机构信息
Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida, USA.
出版信息
Am J Ophthalmol. 2008 Apr;145(4):695-9. doi: 10.1016/j.ajo.2007.11.024. Epub 2008 Feb 1.
PURPOSE
To report a series of patients in whom infectious scleritis developed after vitreoretinal surgery.
DESIGN
Interventional case series of four patients.
METHODS
Medical records of patients at a single institution in whom infectious scleritis developed after vitreoretinal surgery were reviewed.
RESULTS
In three patients, infectious scleritis developed after 20-gauge pars plana vitrectomy, and in one patient, infectious scleritis developed after a scleral buckling procedure. Three cases were had positive culture results; the identified organisms were Pseudomonas aeruginosa in two cases and methicillin-resistant Staphylococcus aureus in one. The fourth patient did not have culture results but responded rapidly to empiric treatment with moxifloxacin. In one patient, surgically induced necrotizing scleritis subsequently developed.
CONCLUSIONS
Although infectious scleritis is an uncommon complication after vitreoretinal surgery, it should be a considered cause in patients with persistent postoperative pain and inflammation.
目的
报告一系列玻璃体视网膜手术后发生感染性巩膜炎的患者。
设计
4例患者的介入性病例系列。
方法
回顾了单一机构中玻璃体视网膜手术后发生感染性巩膜炎患者的病历。
结果
3例患者在20G玻璃体切割术后发生感染性巩膜炎，1例患者在巩膜扣带术后发生感染性巩膜炎。3例培养结果为阳性；鉴定出的病原体在2例中为铜绿假单胞菌，1例中为耐甲氧西林金黄色葡萄球菌。第4例患者没有培养结果，但对莫西沙星经验性治疗反应迅速。1例患者随后发生手术性坏死性巩膜炎。
结论
虽然感染性巩膜炎是玻璃体视网膜手术后罕见的并发症，但对于术后持续疼痛和炎症的患者，应将其视为一个可能的病因。
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