Sawusch M R, Michels R G, Stark W J, Bruner W E, Annable W L, Green W R
Wilmer Ophthalmological Institute, Baltimore, MD.
Ophthalmic Surg. 1989 Feb;20(2):90-2.
A 68-year-old woman had delayed onset, persistent uveitis following routine extracapsular cataract extraction with posterior chamber intraocular lens implantation. The patient initially responded to topical steroids, but developed a whitish capsular plaque through to represent possible Propionibacterium acnes endophthalmitis. A vitrectomy and capsular biopsy yielded cultures positive for P. acnes only after nine days. The intraocular lens was left in place. Light and electron microscopy revealed bacteria sequestered within the capsular bag.
一名68岁女性在常规囊外白内障摘除联合后房型人工晶状体植入术后出现延迟发作的持续性葡萄膜炎。患者最初对局部使用类固醇有反应，但后来出现了白色的囊膜斑块，提示可能为痤疮丙酸杆菌性眼内炎。玻璃体切割术和囊膜活检在九天后培养出仅痤疮丙酸杆菌阳性的结果。人工晶状体保留原位。光镜和电镜检查显示细菌隐匿于囊袋内。
