Huang Susan, Crawford J Brooks, Rutar Tina
University of California San Francisco, San Francisco, CA 94143-0730, USA.
J AAPOS. 2011 Feb;15(1):98-100. doi: 10.1016/j.jaapos.2010.11.018.
Bacterial entry into the vitreous cavity via inadvertent scleral perforation is one postulated mechanism for poststrabismus surgery endophthalmitis. In a review of 746 cases, we identified 2 pediatric enucleation specimens related to complications of strabismus surgery. In both cases, the patients developed postoperative endophthalmitis and no light perception vision, and the eyes were enucleated when they became phthisical or painful. In both submitted cases, pathology showed a thick band of scar tissue emanating focally from the sclera into the vitreous. Although no needle tracts were visualized, pathological findings were consistent with scleral perforation.
细菌通过意外的巩膜穿孔进入玻璃体腔是斜视手术后眼内炎的一种推测机制。在对746例病例的回顾中，我们确定了2例与斜视手术并发症相关的儿童眼球摘除标本。在这两例病例中，患者术后均发生眼内炎且无光感视力，当眼球萎缩或疼痛时进行了眼球摘除。在提交的这两例病例中，病理显示一条厚厚的瘢痕组织带从巩膜局部延伸至玻璃体。尽管未观察到针道，但病理结果与巩膜穿孔一致。
