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小切口微透镜取出术后囊内感染。

Intracapsular infection after small-incision lenticule extraction.

机构信息

From the State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, China.

From the State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, China.

出版信息

J Cataract Refract Surg. 2018 Nov;44(11):1394-1395. doi: 10.1016/j.jcrs.2018.07.043. Epub 2018 Oct 9.

Abstract

A 40-year-old man had uneventful small-incision lenticule extraction. Three days later, the uncorrected distance visual acuity was 20/20 and the cornea was clear without intraocular inflammatory in both eyes. At 6 days, the patient presented with a foreign-body sensation in the right eye but with no decrease in vision. Dense infiltration was visible at the inferior nasal corneal rim on slitlamp microscopy. Anterior segment optical coherence tomography showed the lesion in the junction of the capsular bag and the lenticular edge. Confocal microscopy showed a large number of inflammatory cells and dendritic cells in the infiltration area. After the patient's frequent use of antibiotic and glucocorticoid eyedrops, the inferior corneal infiltration was absorbed and there were significantly fewer inflammatory cells and dendritic cells.

摘要

一位 40 岁男性行小切口微透镜切除术,过程顺利。术后 3 天,右眼裸眼远视力 20/20,双眼角膜透明,无眼内炎症。术后 6 天,患者右眼出现异物感,视力无下降。裂隙灯显微镜下可见下鼻侧角膜缘有浓密浸润。眼前节光学相干断层扫描显示病变位于囊袋与晶状体边缘交界处。共焦显微镜显示浸润区有大量炎症细胞和树突状细胞。患者频繁使用抗生素和糖皮质激素滴眼剂后,下方角膜浸润吸收,炎症细胞和树突状细胞明显减少。

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