Srimati Kanuri Santhamma Centre for Vitreoretinal Diseases, Hyderabad Eye Research Foundation, Kallam Anji Reddy Campus, LV Prasad Eye Institute, Hyderabad, India.
Indian J Ophthalmol. 2012 Jul;60(4):317-9. doi: 10.4103/0301-4738.98715.
The article reports a case and review of the literature of endophthalmitis presenting as isolated retinal vasculitis. A 26-year-old male was observed to have white-centered retinal hemorrhages and retinal vasculitis following an occult scleral perforation. At presentation, the visual acuity was 20/60. With clinical suspicion of early endophthalmitis, he underwent wound exploration, scleral tear repair, vitreous biopsy and administration of intravitreal antibiotics. Microbiology evaluation revealed significant presence of methicillin-resistant coagulase-negative Staphylococcus epidermidis. Final visual acuity improved to 20/20 at 6 weeks postoperatively. Literature search revealed eight similar cases, all of them due to Staphylococcus species. Retinal vasculitis and white-centered retinal hemorrhages can be a presenting sign of early endophthalmitis, especially with non-fulminant pathogens like S. epidermidis.
本文报道了一例表现为孤立性视网膜血管炎的眼内炎病例，并对文献进行了回顾。一名 26 岁男性在发生隐匿性巩膜穿孔后，出现了以白色为中心的视网膜出血和视网膜血管炎。就诊时，视力为 20/60。由于临床怀疑为早期眼内炎，他接受了伤口探查、巩膜撕裂修复、玻璃体活检和玻璃体内抗生素注射。微生物学评估显示，耐甲氧西林凝固酶阴性表皮葡萄球菌大量存在。术后 6 周，最终视力提高到 20/20。文献检索显示，有 8 例类似病例，均由葡萄球菌引起。视网膜血管炎和以白色为中心的视网膜出血可能是早期眼内炎的表现，尤其是在非暴发性病原体如表皮葡萄球菌的情况下。
