Metge P, Cohen H, Cadiou D, Morin B, Graff F, Convert P, Timsit J, Pichot de Chamfleury A
Bull Soc Ophtalmol Fr. 1990 May;90(5):531-5.
After the era of antibiotics, a real improvement has been stated in the percentage of endophthalmis following cataract surgery which has fallen from 1% between 1950 and 1977, to 0.2-0.3% now. Since 10 lenses have been implanted, the incidence of acute bacterial endophthalmitis due to pathogenic organisms has not increased. But we now encounter many cases of "cold endophthalmitis", with a lowered symptomatology, a delayed onset, and which are due to organisms of low virulence. Their prognosis can be improved by early vitrectomy combined to intraocular antibiotics in the more severe cases, and by using antibiotics of high intraocular penetration in the milder cases. We report fifteen cases of pseudophakic endophthalmitis. The clinical course was acute in one case, sub acute in eleven cases, and chronic in three cases. In the latter fourteen cases a vitrectomy was performed in 60% of the cases. Aqueous and vitreous taps have found cocci gram + in five cases. Visual results are superior to 1/20 in 2/3 of the cases.
在抗生素时代之后，白内障手术后眼内炎的发生率有了切实的改善，已从1950年至1977年间的1%降至如今的0.2%-0.3%。自从植入了10枚人工晶状体以来，由致病微生物引起的急性细菌性眼内炎的发生率并未增加。但我们现在遇到了许多“冷性眼内炎”病例，其症状较轻、发病延迟，且由低毒力微生物引起。在较严重的病例中，早期玻璃体切除术联合眼内使用抗生素可改善其预后，在较轻的病例中，使用眼内穿透力强的抗生素也可改善预后。我们报告了15例人工晶状体眼内炎病例。临床病程为急性的1例，亚急性的11例，慢性的3例。在后14例中，60%的病例进行了玻璃体切除术。前房和玻璃体穿刺在5例中发现革兰氏阳性球菌。三分之二的病例视力结果优于1/20。
