内源性肺炎克雷伯菌眼内炎的成功治疗：一例报告
Successful treatment of endogenous Klebsiella pneumoniae endophthalmitis: a case report.
作者信息
Ishii Kotaro, Hiraoka Takahiro, Kaji Yuichi, Sakata Norishige, Motoyama Yuta, Oshika Tetsuro
机构信息
Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
出版信息
Int Ophthalmol. 2011 Feb;31(1):29-31. doi: 10.1007/s10792-010-9387-7. Epub 2010 Jul 28.
BACKGROUND
Klebsiella pneumoniae endophthalmitis is rare and despite immediate management, visual outcome is generally poor. We report a case of endogenous K. pneumoniae endophthalmitis that was treated successfully.
CASE
An 80-year-old woman with a liver abscess was diagnosed at an early stage with endogenous K. pneumoniae endophthalmitis. She underwent par plana vitrectomy and lensectomy within 8 h after the onset of ocular symptoms. Secondary implantation of a sulcus-fixated intra-ocular lens (IOL) was performed 12 months later. Final visual acuity OS was 20/20.
CONCLUSIONS
The present case highlights the potential benefit of early and broad vitrectomy with lensectomy in the management of endogenous K. pneumoniae endophthalmitis.
背景
肺炎克雷伯菌性眼内炎较为罕见，尽管进行了及时治疗，但视力预后通常较差。我们报告一例成功治疗的内源性肺炎克雷伯菌性眼内炎病例。
病例
一名80岁患有肝脓肿的女性在早期被诊断为内源性肺炎克雷伯菌性眼内炎。她在眼部症状出现后8小时内接受了经平坦部玻璃体切除术和晶状体切除术。12个月后进行了二期沟内固定人工晶状体（IOL）植入术。最终右眼视力为20/20。
结论
本病例突出了早期广泛玻璃体切除术联合晶状体切除术在内源性肺炎克雷伯菌性眼内炎治疗中的潜在益处。
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