Orgel I K, Cohen K L
Department of Ophthalmology, University of North Carolina, School of Medicine, Chapel Hill.
Ophthalmic Surg. 1989 Aug;20(8):584-7.
Fungal endophthalmitis is an uncommon complication of intraocular surgery. We report, to our knowledge, the first case of a postoperative Zygomycetes endophthalmitis that occurred after uncomplicated phacoemulsification and the insertion of a posterior chamber intraocular lens. Diagnosis, in the presence of negative aqueous and vitreous cultures, was confirmed by immunofluorescence staining of an anterior chamber inflammatory mass. Successful treatment of the eye with 20 micrograms of intraocular amphotericin B (Fungizone) may have been made possible in part by the fact that the posterior capsule remained intact, keeping the eye bicompartmental.
真菌性眼内炎是眼内手术的一种罕见并发症。据我们所知，我们报告了第一例在单纯白内障超声乳化吸除术及植入后房型人工晶状体术后发生的接合菌性眼内炎病例。在房水和玻璃体培养结果均为阴性的情况下，通过对前房炎性肿块进行免疫荧光染色得以确诊。该眼使用20微克眼内注射两性霉素B（氟康唑）成功治愈，部分原因可能是后囊膜保持完整，使眼内保持双腔结构。
