Deka Amarendra, Siddique Mir Alam, Saikia Simanta Pradeep
Department of Ophthalmology, Mission Nethralaya, Shillong, Meghalaya, India.
Department of Ophthalmology, Gauhati Medical College, Guwahati, Assam, India.
J Ophthalmic Vis Res. 2018 Oct-Dec;13(4):504-507. doi: 10.4103/jovr.jovr_194_16.
To report three cases of endophthalmitis following uneventful phacoemulsification surgery.
Three cases presented with blurriness of vision 2 to 3 weeks following phacoemulsification. Vitreous culture confirmed the diagnosis. Pars plana vitrectomy with intravitreal injection of vancomycin (1 mg/0.1 ml) and ceftazidime (2.25 mg/0.1 ml) was performed. Despite several modalities of treatment, 2 cases did not respond to intravitreal antibiotics and vitrectomy. The first case ended up with phthisis bulbi and the second case underwent evisceration. One case improved after intravitreal injection of the first dose of antibiotic.
endophthalmitis is rare and difficult to treat. More studies are necessary to understand the course and outcome of the infection.
报告3例白内障超声乳化吸除术顺利完成后发生眼内炎的病例。
3例患者在白内障超声乳化吸除术后2至3周出现视力模糊。玻璃体培养确诊了诊断。进行了经平坦部玻璃体切除术并玻璃体内注射万古霉素（1毫克/0.1毫升）和头孢他啶（2.25毫克/0.1毫升）。尽管采用了多种治疗方式，但2例患者对玻璃体内抗生素和玻璃体切除术无反应。第一例最终眼球痨，第二例进行了眼内容剜出术。1例在玻璃体内注射第一剂抗生素后病情改善。
眼内炎罕见且难以治疗。需要更多研究来了解感染的病程和结局。
