1例白内障摘除术后少动鞘氨醇单胞菌性眼内炎病例。
A case of postoperative Sphingomonas paucimobilis endophthalmitis after cataract extraction.
作者信息
Seo Seong Wook, Chung In Young, Kim Eurie, Park Jong Moon
机构信息
Department of Ophthalmology, Gyeongsang National University, College of Medicine, Jinju, Korea.
出版信息
Korean J Ophthalmol. 2008 Mar;22(1):63-5. doi: 10.3341/kjo.2008.22.1.63.
Abstract
PURPOSE
To report a case of an acute onset of delayed postoperative endophthalmitis that was caused by Sphingomonas paucimobilis.
METHODS
This case demonstrates an acute onset of delayed postoperative endophthalmitis at 3 months after uneventful cataract extraction and posterior chamber intraocular lens implantation. We performed vitrectomy, intraocular lens and capsular bag removal, and intravitreal antibiotics injection. On the smear stains from the aspirated vitreous humor, gram-negative bacilli were detected and S. paucimobilis was found in culture.
RESULTS
At three months after vitrectomy, the best corrected visual acuity was 20/300. Fundus examination showed mild pale color of optic disc and macular degeneration.
CONCLUSIONS
Vitrectomy with intravitreal ceftazidime injection had contributed to the favorable result in case of an acute onset of delayed postoperatire endophthalmitis caused by S. paucimobilis.
摘要
目的
报告1例由少动鞘氨醇单胞菌引起的急性迟发性术后眼内炎病例。
方法
该病例显示在白内障摘除及后房型人工晶状体植入术后3个月急性发生迟发性术后眼内炎。我们进行了玻璃体切除术、人工晶状体及囊袋摘除，并玻璃体腔内注射抗生素。在抽取的玻璃体液涂片染色中检测到革兰氏阴性杆菌，培养发现少动鞘氨醇单胞菌。
结果
玻璃体切除术后3个月，最佳矫正视力为20/300。眼底检查显示视盘轻度苍白及黄斑变性。
结论
对于由少动鞘氨醇单胞菌引起的急性迟发性术后眼内炎，玻璃体切除联合玻璃体腔内注射头孢他啶有助于取得良好效果。
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