青光眼引流装置植入术后眼内炎的管理模式和视觉结局：病例系列研究。

Management Patterns and Visual Outcomes of Endophthalmitis After Glaucoma Drainage Device Placement: A Case Series.

机构信息

Duke University School of Medicine.

Duke Eye Center, Duke University, Durham, NC.

出版信息

J Glaucoma. 2021 Jan 1;30(1):e5-e7. doi: 10.1097/IJG.0000000000001679.

DOI:10.1097/IJG.0000000000001679

PMID:32969919

Abstract

PURPOSE

To describe clinical presentation, management, and outcomes of eyes with endophthalmitis related to glaucoma drainage device (GDD) placement.

PATIENTS AND METHODS

Retrospective chart review of patients diagnosed with GDD-related endophthalmitis at Duke Eye Center from 2009 to 2018.

RESULTS

Six eyes of 6 patients had endophthalmitis related to a GDD (2 Ahmed, 4 Baerveldt). The mean time from surgery to presentation was 22.7 months. Five of 6 cases (83%) had culture-proven infectious endophthalmitis. Eyes undergoing GDD explantation (n=2) had better visual acuity at 6 months compared with those without hardware removal (20/11,314 vs. 20/358). Visual acuity at 6 months was hand motion (20/8000) or worse in 3 of 6 cases (50%).

CONCLUSIONS

GDD-related endophthalmitis often leads to poor visual outcomes. Hardware removal may lead to improved visual outcomes; a multicenter prospective study assessing the benefit of hardware removal may be warranted.

摘要

目的

描述与青光眼引流装置（GDD）植入相关的眼内炎的临床表现、治疗方法和结局。

方法

回顾性分析 2009 年至 2018 年在杜克眼科中心诊断为 GDD 相关眼内炎的患者的病历。

结果

6 名患者的 6 只眼发生了与 GDD 相关的眼内炎（2 例 Ahmed，4 例 Baerveldt）。从手术到就诊的平均时间为 22.7 个月。5 例（83%）经培养证实为感染性眼内炎。接受 GDD 取出术的眼（n=2）在 6 个月时的视力优于未行硬件移除的眼（20/11，314 比 20/358）。6 例中有 3 例（50%）在 6 个月时视力为手动（20/8000）或更差。