Di Yu, Chen Xiao-Long
Department of Ophthalmology, Shengjing Affiliated Hospital, China Medical University, Shenyang 110004, People's Republic of China.
Infect Drug Resist. 2019 Jun 4;12:1433-1438. doi: 10.2147/IDR.S201460. eCollection 2019.
Endophthalmitis caused by as a complication of cataract surgery is rare in China and globally. This study aimed to report the clinical features, surgical treatment strategies, antibiotic susceptibilities and treatment outcomes in patients with endophthalmitis caused by . A case series of 15 patients (15 eyes) with post-cataract endophthalmitis caused by treated at the Ophthalmology Clinic of Shengjing Hospital between June 2008 and June 2017 was reviewed retrospectively. Information about culture results, clinical features, surgical procedures, and final visual acuity were obtained. The vitreous samples were all positive. These eyes underwent total capsulectomy and intraocular lens explantation and vitrectomy combined with intravitreal and intravenous injections of antibiotics. Finally, 14 eyes had controlled inflammation and retained eyeballs. One eye had panophthalmitis and enucleation of the eyeball. Presenting visual acuity ranged from counting fingers to no light perception. Final visual acuity was better than 20/400 in 4 of 15 eyes (26.67%), 20/400 to hand motions in 7 of 15 eyes (46.67%), and light perception to no light perception in 4 of 15 eyes (26.67%) at 6-month follow-up visit. might be an etiologic agent in postoperative endophthalmitis. The endophthalmitis might be treated with early vitrectomy and targeted antibiotic therapy approach.
作为白内障手术并发症的[病原体名称]引起的眼内炎在中国和全球都很罕见。本研究旨在报告由[病原体名称]引起的眼内炎患者的临床特征、手术治疗策略、抗生素敏感性和治疗结果。回顾性分析了2008年6月至2017年6月在盛京医院眼科门诊治疗的15例（15只眼）由[病原体名称]引起的白内障术后眼内炎患者的病例系列。获取了有关[病原体名称]培养结果、临床特征、手术程序和最终视力的信息。玻璃体样本均为阳性。这些眼睛接受了全囊切除术、人工晶状体摘除术以及玻璃体切除术，并联合玻璃体内和静脉内注射抗生素。最后，14只眼炎症得到控制，眼球得以保留。1只眼发生了全眼球炎并进行了眼球摘除术。就诊时视力范围从指数到无光感。在6个月的随访中，15只眼中有4只（26.67%）最终视力优于20/400，15只眼中有7只（46.67%）最终视力在20/400至手动之间，15只眼中有4只（26.67%）最终视力在光感至无光感之间。[病原体名称]可能是术后眼内炎的病原体。[病原体名称]性眼内炎可能采用早期玻璃体切除术和靶向抗生素治疗方法进行治疗。
