Kannan Naresh Babu, Kohli Piyush, Shekhar Madhu, Sen Sagnik, Lalitha Prajna, Pai Aruna, Ramasamy Kim
Department of Vitreo-retinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
Department of Cataract and IOL Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
Ocul Immunol Inflamm. 2022 Oct-Nov;30(7-8):1756-1762. doi: 10.1080/09273948.2021.1945636. Epub 2021 Jul 2.
To report the clinical presentation and management outcomes of an outbreak of culture-proven post-operative endophthalmitis (POE) secondary to .
This study was conducted at a tertiary-care eye hospital in South India.
Fifty-five patients underwent cataract surgery by six surgeons on three consecutive days in the same surgical facility in September 2020. Four patients developed POE after a mean interval of 12.0 ± 4.8 days and underwent immediate vitreous tap and intravitreal antibiotic injections (Vancomycin and Ceftazidime). All patients required a core vitrectomy (culture positive, n = 4/4). Two patients underwent an additional intraocular lens explantation, 2 and 4 months after presentation. All the four patients showed good anatomical and functional recoveries (mean follow-up, 5.75 ± 1.5 months). Two other patients had an exaggerated post-operative inflammation, which was successfully treated with topical medications.
is a rare cause of acute POE. Although the isolated organism was multi-drug resistant, the outcome was good in all the patients.
报告一例经培养证实的术后眼内炎(POE)暴发的临床表现及治疗结果。
本研究在印度南部的一家三级眼科医院进行。
2020年9月,6名外科医生在同一手术设施中连续三天为55例患者进行了白内障手术。4例患者在平均12.0±4.8天后发生POE,并立即进行了玻璃体穿刺和玻璃体内抗生素注射(万古霉素和头孢他啶)。所有患者均需进行核心玻璃体切除术(培养阳性,n = 4/4)。2例患者在发病后2个月和4个月额外进行了人工晶状体取出术。所有4例患者均显示出良好的解剖和功能恢复(平均随访5.75±1.5个月)。另外2例患者术后炎症反应过度,经局部用药成功治疗。
是急性POE的罕见病因。尽管分离出的病原体具有多重耐药性,但所有患者的预后均良好。