Magnocavallo M, Cassina T, Lo Votrico A, Stucchi C A
Ospedale Civico Lugano Servizio di Oftalmologia.
Klin Monbl Augenheilkd. 1988 May;192(5):440-3. doi: 10.1055/s-2008-1050146.
The authors describe seven cases of endophthalmitis following cataract surgery and intraocular lens implantation. The patients were treated with antibiotics together with mydriatics or with mydriatics and antiinflammatory medication only. Rapid healing of the endophthalmitis was observed in both series, with good restitution of visual acuity. According to various articles on this complication, approximately 75% of the aqueous humor samples taken are bacteriologically positive. The present authors therefore took samples of aqueous humor intraoperatively in randomly chosen cases, in order to establish whether there were any false-positive results due to external contamination. A brief review of the literature is presented.
作者描述了7例白内障手术及人工晶状体植入术后发生眼内炎的病例。患者接受了抗生素联合散瞳剂治疗,或仅接受了散瞳剂和抗炎药物治疗。两个系列均观察到眼内炎迅速愈合,视力恢复良好。根据关于该并发症的各种文章,所采集的房水样本中约75%细菌学检查呈阳性。因此,作者在随机选择的病例中术中采集房水样本,以确定是否存在因外部污染导致的假阳性结果。本文对相关文献进行了简要综述。