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眼部感染:眼内炎。

Ocular Infection: Endophthalmitis.

作者信息

Schwartz Stephen G, Flynn Harry W, Das Taraprasad, Mieler William F

出版信息

Dev Ophthalmol. 2016;55:176-88. doi: 10.1159/000431195. Epub 2015 Oct 26.

Abstract

Endophthalmitis is characterized by marked inflammation of intraocular fluids and tissues. Infective endophthalmitis may be categorized by the cause of the infection, which helps predict the underlying etiology and most likely causative organisms. The major category remains acute-onset postoperative endophthalmitis. Infective endophthalmitis is a clinical diagnosis but is confirmed by evaluation of intraocular fluid specimens. The Endophthalmitis Vitrectomy Study offered important guidelines for the initial management of endophthalmitis, and these guidelines remain relevant to this day. Prompt initiation of empiric broad-spectrum antimicrobial therapy is important in achieving best outcomes.

摘要

眼内炎的特征是眼内液体和组织出现明显炎症。感染性眼内炎可根据感染原因进行分类,这有助于预测潜在病因和最可能的致病微生物。主要类型仍然是急性术后眼内炎。感染性眼内炎是一种临床诊断,但需通过对眼内液标本的评估来确诊。眼内炎玻璃体切除术研究为眼内炎的初始治疗提供了重要指导原则,这些原则至今仍然适用。及时开始经验性广谱抗菌治疗对于取得最佳治疗效果至关重要。

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