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创伤性晶状体内脓肿——有何不同之处?

Traumatic intralenticular abscess-What is so different?

作者信息

Balamurugan S, Gurnani Bharat, Kaur Kirandeep, Gireesh Prasanth, Narayana Shivanand

机构信息

Consultant Uvea Services, Aravind Eye Hospital, Pondicherry, India.

Cornea Fellow, Aravind Eye Hospital, Pondicherry, India.

出版信息

Indian J Radiol Imaging. 2020 Jan-Mar;30(1):92-94. doi: 10.4103/ijri.IJRI_369_19. Epub 2020 Mar 30.

DOI:10.4103/ijri.IJRI_369_19
PMID:32476758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7240887/
Abstract

Intralenticular abscess is a very rare entity that occurs after trauma, cataract surgeries, or as metastatic infection. It is important to pinpoint this sequestrated infection and to evacuate the abscess surgically to prevent chronic endophthalmitis. In this report, we describe a case of posttraumatic lenticular abscess highlighting the characteristic clinical features and their management. Additionally, here we report the first time use of Anterior Segment Optical Coherence Tomography as a diagnostic tool in delineating lens abscess from traumatic cataract which further guide the management and prognosis of the case. Traumatic intralenticular abscess (TILA)-What is so different?

摘要

晶状体内脓肿是一种非常罕见的病症,发生于外伤、白内障手术后或作为转移性感染。准确识别这种隐匿性感染并通过手术引流脓肿以预防慢性眼内炎非常重要。在本报告中,我们描述了一例创伤后晶状体脓肿病例,突出其特征性临床特征及其处理方法。此外,我们首次报告使用前段光学相干断层扫描作为诊断工具来区分晶状体脓肿与外伤性白内障,这进一步指导了该病例的处理和预后。创伤性晶状体内脓肿(TILA)——有何不同之处?

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/c8cc9c3b49b3/IJRI-30-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/ad3a9cd2c499/IJRI-30-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/60c3d33e7286/IJRI-30-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/8b890791ffd8/IJRI-30-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/c8cc9c3b49b3/IJRI-30-92-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/ad3a9cd2c499/IJRI-30-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/60c3d33e7286/IJRI-30-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/8b890791ffd8/IJRI-30-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/146a/7240887/c8cc9c3b49b3/IJRI-30-92-g004.jpg

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本文引用的文献

1
Traumatic lenticular abscess: clinical description and outcome.外伤性晶状体脓肿:临床描述与转归
Am J Ophthalmol. 2007 Jul;144(1):144-6. doi: 10.1016/j.ajo.2007.02.040.
2
Traumatic intralenticular abscess: a case series.
Clin Exp Ophthalmol. 2007 Apr;35(3):252-5. doi: 10.1111/j.1442-9071.2006.01449.x.
3
Intralenticular abscess caused by Stenotrophomonas maltophilia.
Eye (Lond). 2001 Jun;15(Pt 3):349-50. doi: 10.1038/eye.2001.117.
4
Intralenticular abscess.
Aust N Z J Ophthalmol. 1989 Aug;17(3):313-5. doi: 10.1111/j.1442-9071.1989.tb00540.x.
5
Posterior lens capsule abscess due to Propionibacterium acnes and Staphylococcus epidermidis following extracapsular cataract extraction.囊外白内障摘除术后痤疮丙酸杆菌和表皮葡萄球菌引起的晶状体后囊膜脓肿
Br J Ophthalmol. 1991 Dec;75(12):710-2. doi: 10.1136/bjo.75.12.710.