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玻璃体内注射地塞米松植入术后急性细菌性眼内炎：一例报告并文献复习

Acute bacterial endophthalmitis following intravitreal dexamethasone implant: A case report and review of literature.

作者信息

Goel Neha

机构信息

ICARE Eye Hospital and Postgraduate Institute, Noida, U.P, India.

出版信息

Saudi J Ophthalmol. 2017 Jan-Mar;31(1):51-54. doi: 10.1016/j.sjopt.2016.12.003. Epub 2016 Dec 18.

DOI:10.1016/j.sjopt.2016.12.003
PMID:28337065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5352935/
Abstract

Endophthalmitis following intravitreal dexamethasone (DEX) implant has been rarely reported. This report describes the case of a 70-year-old male who underwent intravitreal DEX implant injection under aseptic conditions, for diabetic macular edema. He developed a clinical picture suggestive of endophthalmitis within 2 weeks of the injection, and vitreous culture grew coagulase negative He was treated with intravitreal antibiotics followed by pars plana vitrectomy and removal of the implant. This was followed by resolution of the infection with a favorable final visual outcome. The challenges faced during surgical management of this case are discussed.

摘要

玻璃体内注射地塞米松（DEX）植入物后发生眼内炎的情况鲜有报道。本报告描述了一名70岁男性的病例，该患者因糖尿病性黄斑水肿在无菌条件下接受了玻璃体内DEX植入物注射。他在注射后2周内出现了提示眼内炎的临床表现，玻璃体培养长出凝固酶阴性菌。他接受了玻璃体内抗生素治疗，随后进行了玻璃体切割术并取出植入物。感染得到解决，最终视力预后良好。文中讨论了该病例手术治疗过程中面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2500/5352935/00d21fc79abf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2500/5352935/638162b7e0c0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2500/5352935/00d21fc79abf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2500/5352935/638162b7e0c0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2500/5352935/00d21fc79abf/gr2.jpg

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