Driebe W T, Mandelbaum S, Forster R K, Schwartz L K, Culbertson W W
Ophthalmology. 1986 Apr;93(4):442-8. doi: 10.1016/s0161-6420(86)33722-9.
Eighty-three cases of endophthalmitis occurring in eyes with intraocular lenses are presented. A problem with the cataract section was felt to contribute to development of the endophthalmitis in 22% of patients. Seventy-five percent of eyes were culture positive with a microbiologic spectrum similar to other reported series without lens implants. Staphylococcus epidermidis was the most common organism accounting for 38% of the isolates. Therapeutic vitrectomy was performed in 46 cases (55%), generally in those eyes with the most severe inflammation. Intraocular lenses were removed in 23 cases (28%), usually to facilitate vitrectomy. Only 1 of 57 eyes with bacterial endophthalmitis could not be sterilized while the intraocular lens was retained. Visual acuity of 20/400 or better was achieved in 63% of culture positive cases, in 78% of eyes infected with S. epidermidis, and in 94% of culture negative eyes.
本文报告了83例人工晶状体眼内炎病例。22%的患者被认为白内障手术存在问题，这是导致眼内炎发生的一个因素。75%的患眼培养呈阳性，其微生物谱与其他未植入人工晶状体的报道系列相似。表皮葡萄球菌是最常见的病原体，占分离菌株的38%。46例（55%）患者接受了治疗性玻璃体切除术，通常是针对炎症最严重的患眼。23例（28%）患者的人工晶状体被摘除，通常是为了便于进行玻璃体切除术。在保留人工晶状体的情况下，57例细菌性眼内炎患者中只有1例未能实现眼内无菌。在培养呈阳性的病例中，63%的患眼视力达到20/400或更好；在感染表皮葡萄球菌的患眼中，78%的患眼视力达到该水平；在培养呈阴性的患眼中，94%的患眼视力达到该水平。
