屈光后感染性角膜炎：预防、诊断、处理和预后。
Postrefractive infectious keratitis: prevention, diagnosis, management, and prognosis.
机构信息
Department of Ophthalmology at the NYU Grossman School of Medicine, Cornea, External Disease, and Refractive Surgery, New York City, New York.
Cornea Service, Scripps Clinic in La Jolla, California, USA.
出版信息
Curr Opin Ophthalmol. 2021 Jul 1;32(4):309-314. doi: 10.1097/ICU.0000000000000775.
PURPOSE OF REVIEW
Improve outcomes from an elective procedure by preventing a rare but sight-threatening complication.
RECENT FINDINGS
Advancement in anti-infective prophylaxis, and therefore shift in the causative organism permits better diagnostic and empiric management.
SUMMARY
Infectious keratitis presents in different patterns depending on the refractive procedure. Atypical causative organisms may respond poorly to empiric therapy and impair vision. Therefore, microbial identification is of utmost importance and therapy is adjusted accordingly.
目的综述
通过预防一种罕见但可致盲的并发症，改善择期手术的预后。
最近的发现
抗感染预防措施的进步，以及由此导致的病原体变化，使诊断和经验性治疗得以改善。
总结
感染性角膜炎的表现取决于屈光手术的类型。非典型病原体可能对抗生素治疗反应不佳，导致视力受损。因此，微生物鉴定至关重要，应据此调整治疗方案。
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