Davis Michael J, Epstein Randy J, Dennis Richard F, Cohen Jack A
Rush University Medical Center, Chicago, Illinois, USA.
J Cataract Refract Surg. 2009 Oct;35(10):1826-8. doi: 10.1016/j.jcrs.2009.05.020.
We report a case of culture-positive bacterial endophthalmitis following implantation of a Staar intraocular Collamer lens (ICL). The patient presented 4 days after uneventful sutureless surgery with decreased visual acuity, redness, and photosensitivity. Inflammation increased over the next 24 hours, which prompted a tap for culture and intravitreal injection of antibiotic agents. Vitreous culture was positive for coagulase-negative Staphylococcus epidermidis. One year postoperatively, the uncorrected distance visual acuity was 20/20; persistent anterior vitreous opacities were the only observable sequelae. Bacterial endophthalmitis is a potential complication of ICL implantation. It can be successfully diagnosed and treated if a high degree of suspicion is maintained and if appropriate diagnostic and treatment modalities are used.
我们报告了1例植入STAAR可折叠人工晶状体（ICL）后培养结果呈阳性的细菌性眼内炎病例。该患者在顺利完成无缝线手术后4天出现视力下降、眼红和畏光症状。在接下来的24小时内炎症加重，促使进行房水穿刺培养并玻璃体内注射抗生素。玻璃体培养结果显示凝固酶阴性表皮葡萄球菌呈阳性。术后1年，未矫正的远距离视力为20/20；仅观察到持续性前部玻璃体混浊这一后遗症。细菌性眼内炎是ICL植入的一种潜在并发症。如果保持高度怀疑并采用适当的诊断和治疗方式，该病可得到成功诊断和治疗。
