Galor Anat, Goldhardt Raquel, Wellik Sarah R, Gregori Ninel Z, Flynn Harry W
Bascom Palmer Eye Institute, University of Miami, 900 NW 17 Street, Miami, FL, 33136.
Curr Ophthalmol Rep. 2013 Dec;1(4). doi: 10.1007/s40135-013-0021-5.
Postoperative infections, although rare, are still of great concern to the ophthalmologist. The incidence of post-cataract endophthalmitis is low, with a range of .28 per 1,000 to 2.99 per 1000. In addition to intraoperative considerations such as poor wound construction, vitreous loss, topical anesthesia, and prolonged surgical time, other risk factors include preoperative factors such as a diseased ocular surface and systemic immunosuppression. Potential methods of reducing risk of endophthalmitis after anterior segment surgery are discussed and available literature is summarized.
术后感染虽然罕见,但仍然是眼科医生非常关注的问题。白内障术后眼内炎的发病率较低,范围为每1000例中有0.28例至2.99例。除了术中的一些因素,如伤口构建不佳、玻璃体丢失、表面麻醉和手术时间延长外,其他风险因素还包括术前因素,如患眼的眼表疾病和全身免疫抑制。本文讨论了降低眼前节手术后眼内炎风险的潜在方法,并总结了现有文献。