Brady S E, Cohen E J, Fischer D H
Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107.
Ophthalmic Surg. 1988 Aug;19(8):580-4.
Chronic postoperative bacterial endophthalmitis has recently assumed a prominent role in differential diagnosis of inflammation following extracapsular cataract extraction with posterior chamber intraocular lens implantation. The optimal diagnostic and therapeutic approach to this entity has not yet been clearly defined. We present a case of chronic postoperative Propionibacterium acnes endophthalmitis in which the diagnosis was made by anterior chamber paracentesis, and topical, periocular, and systemic antibiotic therapy resolved the inflammation. Anterior chamber paracentesis for aerobic and anaerobic cultures may be an appropriate initial diagnostic step in suspected cases. While successful treatment may require surgical intervention in some cases, others may respond to antibiotic therapy alone.
慢性术后细菌性眼内炎最近在白内障囊外摘除联合后房型人工晶状体植入术后炎症的鉴别诊断中占据了重要地位。针对这一病症的最佳诊断和治疗方法尚未明确界定。我们报告一例慢性术后痤疮丙酸杆菌性眼内炎病例，该病例通过前房穿刺术确诊，局部、眼周及全身抗生素治疗消除了炎症。对于疑似病例，进行前房穿刺以进行需氧菌和厌氧菌培养可能是合适的初始诊断步骤。虽然在某些情况下成功治疗可能需要手术干预，但其他一些病例可能仅对抗生素治疗有反应。
