Seedor J A, Koplin R S, Shah M, Almeda E E, Perry H D
Department of Ophthalmology, New York Eye and Ear Infirmary, New York.
J Cataract Refract Surg. 1990 Jul;16(4):512-3. doi: 10.1016/s0886-3350(13)80810-3.
We recently treated a patient with chronic postoperative endophthalmitis caused by Staphylococcus aureus, which usually presents with a fulminant clinical course. Because of the chronic course, the initial treatment was high dose steroids followed by lensectomy and vitrectomy. However, this was not effective, and intravitreal antibiotics and steroids were ultimately required. We now recommend that in patients with chronic postoperative inflammation unresponsive to high dose steroids, intraocular cultures followed by injection of intraocular antibiotics be considered.
我们最近治疗了一名由金黄色葡萄球菌引起的慢性术后眼内炎患者，该病通常呈现出暴发性临床病程。由于病程呈慢性，初始治疗为大剂量类固醇，随后进行晶状体切除术和玻璃体切除术。然而，这并不奏效，最终需要玻璃体内注射抗生素和类固醇。我们现在建议，对于对大剂量类固醇无反应的慢性术后炎症患者，应考虑进行眼内培养，随后注射眼内抗生素。
