术后眼内炎及眼内容剜出术后发生的交感性眼炎。
Sympathetic ophthalmia following postoperative endophthalmitis and evisceration.
作者信息
Androudi S, Theodoridou A, Praidou A, Brazitikos P D
机构信息
1 Department of Ophthalmology, Aristotle University, Thessaloniki, Greece.
出版信息
Hippokratia. 2010 Apr;14(2):131-2.
PURPOSE
To report a case of sympathetic ophthalmia (SO) following purulent postoperative endophthalmitis and final evisceration of the affected eye.
METHODS-RESULTS: A 64-year-old male underwent phacoemulsification complicated by endophthalmitis. Five months latter the eye was painful and had no light perception so an evisceration was performed. Two weeks latter granulomatous posterior uveitis developed in the fellow eye. SO was diagnosed and the patient was started on prednisone and cyclosporine. The inflammation subsided and visual acuity improved to 20/30.
CONCLUSIONS
Bacterial endophthalmitis cannot prevent the development of SO. Prompt diagnosis and management is the most important factor for visual prognosis.
目的
报告1例化脓性术后眼内炎后发生交感性眼炎（SO）并最终摘除患眼的病例。
方法-结果：一名64岁男性接受了白内障超声乳化手术，并发眼内炎。五个月后，患眼疼痛且无光感，因此进行了眼球摘除术。两周后，对侧眼发生肉芽肿性后葡萄膜炎。诊断为交感性眼炎，患者开始使用泼尼松和环孢素治疗。炎症消退，视力提高到20/30。
结论
细菌性眼内炎不能预防交感性眼炎的发生。及时诊断和治疗是影响视力预后的最重要因素。
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