Roussel T J, Olson E R, Rice T, Meisler D, Hall G, Miller D
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Fla.
Arch Ophthalmol. 1991 Jan;109(1):60-2. doi: 10.1001/archopht.1991.01080010062033.
Actinomyces species, gram-positive, non-spore-forming anaerobic bacilli were isolated from intraocular fluid obtained from four otherwise healthy patients with a delayed onset of postoperative endophthalmitis. One patient had a mixed anaerobic infection with recovery of both Actinomyces israelii and Propionibacterium acnes. In all four patients, early postoperative visual acuity was good but was eventually markedly reduced by intraocular inflammation that was first observed between 21 days and 4 months following uneventful extracapsular cataract extraction and posterior chamber intraocular lens implantation. Inflammation was characterized by anterior segment and vitreous cellular debris in all cases. All eyes responded to therapy that included intraocular, topical, and systemic antibiotics as well as pars plana vitrectomy and partial iridectomy. These cases further illustrate the need for microbiologic investigation, including anaerobic cultures, in all cases of chronic postoperative inflammation following extracapsular cataract extraction, regardless of the time of onset.
放线菌属，革兰氏阳性、不形成芽孢的厌氧杆菌，是从4例术后眼内炎延迟发作的健康患者的眼内液中分离出来的。1例患者为混合厌氧菌感染，分离出以色列放线菌和痤疮丙酸杆菌。在所有4例患者中，术后早期视力良好，但最终因眼内炎症而显著下降，这种炎症最初是在顺利进行囊外白内障摘除和后房型人工晶状体植入术后21天至4个月之间观察到的。所有病例的炎症均表现为前段和玻璃体有细胞碎屑。所有患眼对包括眼内、局部和全身应用抗生素以及玻璃体切割术和部分虹膜切除术在内的治疗均有反应。这些病例进一步说明，在所有囊外白内障摘除术后慢性炎症病例中，无论发病时间如何，都需要进行微生物学检查，包括厌氧菌培养。
