新生儿内源性眼内炎的一期眼球内容剜出术：两例报告
Primary evisceration for neonatal endogenous endophthalmitis: A report of two cases.
作者信息
Al-Khersan Hasenin, Pirakitikulr Nathan, Kalavar Meghana, Clauss Kevin, Patel Nimesh A, Yannuzzi Nicolas A, Alabiad Chrisfouad, Lee Wendy W, Berrocal Audina M
机构信息
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, United States.
Division of Oculofacial Plastic and Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami-Miller School of Medicine, Miami, FL, United States.
出版信息
Am J Ophthalmol Case Rep. 2021 Apr 3;22:101081. doi: 10.1016/j.ajoc.2021.101081. eCollection 2021 Jun.
PURPOSE
To present two cases of neonatal endophthalmitis with poor prognosis that were managed with primary evisceration.
OBSERVATIONS
Case 1 is a 27-weeks' gestation neonate who developed endophthalmitis complicated by globe rupture. Case 2 describes a 34-weeks' gestation neonate with endophthalmitis. Both patients had poor prognosis and thus underwent primary evisceration with good long-term cosmetic outcomes at 15 years and 17 months, respectively.
CONCLUSIONS AND IMPORTANCE
Primary evisceration should be considered in neonates with endophthalmitis with a poor prognosis and can result in good long-term cosmesis.
目的
介绍两例预后不良的新生儿眼内炎病例，均采用了一期眼球内容剜除术进行治疗。
观察结果
病例1是一名孕27周的新生儿，发生了眼内炎并伴有眼球破裂。病例2是一名孕34周的新生儿，患有眼内炎。两名患者预后均较差，因此分别在15岁和17个月时接受了一期眼球内容剜除术，长期美容效果良好。
结论与意义
对于预后不良的新生儿眼内炎患者，应考虑采用一期眼球内容剜除术，该方法可带来良好的长期美容效果。
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