Sengillo Jesse D, Chen Ying, Perez Garcia Diley, Schwartz Stephen G, Grzybowski Andrzej, Flynn Harry W
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
Ann Transl Med. 2020 Nov;8(22):1548. doi: 10.21037/atm-2019-rcs-02.
Improved surgical techniques have led to an increase in the number of outpatient ophthalmic procedures. In spite of decreased surgical times and overall improved outcomes, endophthalmitis remains one of the most severe complications of ophthalmic surgery. Although there are well known risk factors for postoperative endophthalmitis, some prophylaxis strategies remain controversial. A category of noninfectious postoperative inflammation, known as toxic anterior segment syndrome (TASS), is a rare but important complication of cataract surgery. While several worldwide outbreaks of TASS have occurred, it is challenging to identify an etiology in order to reduce the risk of further cases. Endophthalmitis and TASS cannot be prevented completely, but their rates may be decreased through risk reduction strategies supported by peer-reviewed evidence. This review highlights the current evidence in the prevention strategies for postoperative endophthalmitis and TASS.
手术技术的改进导致眼科门诊手术数量增加。尽管手术时间缩短且总体效果有所改善，但眼内炎仍然是眼科手术最严重的并发症之一。虽然术后眼内炎有一些众所周知的危险因素，但一些预防策略仍存在争议。一类非感染性术后炎症，称为毒性眼前节综合征（TASS），是白内障手术罕见但重要的并发症。虽然全球已发生多起TASS疫情，但确定病因以降低进一步发病风险具有挑战性。眼内炎和TASS无法完全预防，但通过同行评审证据支持的风险降低策略，其发生率可能会降低。本综述重点介绍了术后眼内炎和TASS预防策略的当前证据。
