沙特阿拉伯一家三级眼科医院的后板层玻璃体切割术后眼内炎：发病率、病原体谱和治疗结果。
Endophthalmitis Post Pars Plana Vitrectomy Surgery: Incidence, Organisms' Profile, and Management Outcome in a Tertiary Eye Hospital in Saudi Arabia.
机构信息
Division of Vitreoretinal, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Dhahran Eye Specialist Hospital, Dhahran, Kingdom of Saudi Arabia.
出版信息
Middle East Afr J Ophthalmol. 2021 Apr 30;28(1):1-5. doi: 10.4103/meajo.MEAJO_424_20. eCollection 2021 Jan-Mar.
PURPOSE
To determine the incidence of endophthalmitis after pars plana vitrectomy (PPV), organisms' profile, and management outcomes at a tertiary eye hospital in a Middle East country.
METHODS
In this single-arm cohort study conducted in 2020, medical records of patients who underwent PPV not accompanied by any other intraocular surgery were reviewed; those with a diagnosis of acute endophthalmitis in the immediate postoperative period (within 6 weeks) during the past 6 years were analyzed.
RESULTS
A total of 8153 records of PPV surgeries were reviewed. Five cases had endophthalmitis post-PPV with an incidence of 0.061%. Three (0.037%) had positive cultures, all of them for The interval between PPV and diagnosis of endophthalmitis ranged from 3 to 25 days (mean, 15.8 days). Final vision after treatment ranged from 20/400 to no light perception, and one eye was eviscerated.
CONCLUSION
The incidence of endophthalmitis post PPV is low. Despite prompt diagnosis and standard management, visual prognosis seems to be poor. The infective agents for endophthalmitis were commensals from the ocular surface.
目的
在中东某国的一家三级眼科医院确定经睫状体平坦部玻璃体切除术（PPV）后的眼内炎发生率、病原体谱和治疗结果。
方法
在 2020 年进行的这项单臂队列研究中，回顾了接受不伴任何其他眼内手术的 PPV 患者的病历；对过去 6 年中在术后 6 周内（即即刻）诊断为急性眼内炎的患者进行了分析。
结果
共回顾了 8153 例 PPV 手术记录。5 例术后发生眼内炎，发生率为 0.061%。3 例（0.037%）培养阳性，均为结膜囊的常住菌。PPV 与眼内炎诊断之间的间隔时间为 3 至 25 天（平均 15.8 天）。治疗后的最终视力从 20/400 到无光感不等，有一只眼被剜除。
结论
PPV 后眼内炎的发生率较低。尽管及时诊断和标准治疗，但视力预后似乎较差。眼内炎的感染病原体是眼表的共生菌。
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