Lin Zhong, Wu Rong Han, Moonasar Nived
The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China.
Ophthalmology Department, University of the West Indies, St. Augustine, Trinidad and Tobago.
Case Rep Ophthalmol. 2016 Nov 25;7(3):245-250. doi: 10.1159/000452733. eCollection 2016 Sep-Dec.
To report a case of endophthalmitis following 27-gauge pars plana vitrectomy for symptomatic vitreous floaters.
The clinical course and imaging findings, including fundus optomap, and spectral domain optical coherence tomography of a 24-year-old male patient were documented.
The patient, with a preoperative best-corrected visual acuity (BCVA) of 1.0, developed endophthalmitis following 27-gauge pars plana vitrectomy for symptomatic vitreous floaters. After a series of treatments, including emergent vitreous tap and silicone oil injection, antibiotic treatment, and silicone oil removal, the patient regained a BCVA of 0.6.
Although rare, the potential risk of endophthalmitis should be explicitly discussed with patients considering surgical intervention for vitreous floaters.
报告1例因有症状的玻璃体混浊行27G经平坦部玻璃体切割术后发生眼内炎的病例。
记录1例24岁男性患者的临床病程及影像学检查结果，包括眼底Optomap及频域光学相干断层扫描。
该患者术前最佳矫正视力（BCVA）为1.0，因有症状的玻璃体混浊行27G经平坦部玻璃体切割术后发生眼内炎。经过一系列治疗，包括急诊玻璃体穿刺及硅油注入、抗生素治疗以及硅油取出，患者BCVA恢复至0.6。
尽管罕见，但对于考虑因玻璃体混浊进行手术干预的患者，应明确与其讨论眼内炎的潜在风险。
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