Cohen G, Colin J, Anguil M Y, Le Gouil J Y
Service d'Ophtalmologie Centre Hospitalier Regional, Brest.
J Fr Ophtalmol. 1988;11(6-7):521-2.
This paper reports the case of a chronic endophthalmitis with hypopion produced by propionibacterium acnes (p. a.) in a patient operated on for cataract and implanted with a posterior chamber intraocular lens. This granulomatous uveitis appeared 8 days after surgery and did not heal with a systemic corticoid-antibiotics treatment. The diagnosis was obtained by vitreous analysis. The responsibility of p. a. must be always searched in case of chronic endophthalmitis in pseudophakic patients: a specific treatment has to be used.
本文报道了一例白内障手术后植入后房型人工晶状体的患者发生痤疮丙酸杆菌(P. a.)引起的伴有前房积脓的慢性眼内炎的病例。这种肉芽肿性葡萄膜炎在手术后8天出现,全身使用皮质类固醇 - 抗生素治疗未能治愈。通过玻璃体分析得出诊断结果。对于假晶状体患者发生慢性眼内炎的情况,必须始终追查P. a. 的病因:必须采用特定的治疗方法。