From the York Finch Eye Associates, Toronto, Ontario, Canada (Chen, Arshinoff); Department of Ophthalmology, Laval University, Quebec City, Canada (Qi); Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada (Arshinoff).
J Cataract Refract Surg. 2022 Jul 1;48(7):850-854. doi: 10.1097/j.jcrs.0000000000000875.
A detailed retrospective analysis and literature review were conducted for all previously published reports of bilateral simultaneous postoperative endophthalmitis (BSPOE) since 1970. There have been 7 (9, with 2 currently being reported elsewhere) cases of BSPOE after immediately sequential bilateral cataract surgery (ISBCS) reported over 50 years. Generally, in these cases, the surgical protocol recommended by the International Society of Bilateral Cataract Surgeons ( i SBCS) was breached or uncertain. Bacterial causes were Pseudomonas aeruginosa (3), Staphylococcus epidermidis (3), and Burkholderia cepacia complex (1). One case showed negative results for bacterial infection and 1 was not determined. Visual recovery was light perception, or worse, for Pseudomonas cases, generally good for Staphylococcus and Burkholderia cases, and mixed in cases of unknown etiology. Therefore, BSPOE is rare and causes vary. Strict adherence to the i SBCS General Principles of Excellence in ISBCS 2009 surgical protocol and care with operating room construction seem to considerably lessen the risk.
对自 1970 年以来所有已发表的关于双侧同期术后眼内炎（BSPOE）的详细回顾性分析和文献复习进行了研究。在 50 多年的时间里，有 7 例（9 例，其中 2 例目前在其他地方报告）在立即序贯双侧白内障手术后发生 BSPOE。通常，在这些情况下，违反了或不确定国际双侧白内障外科医生学会（iSBCS）推荐的手术方案。细菌原因是铜绿假单胞菌（3）、表皮葡萄球菌（3）和洋葱伯克霍尔德菌复合体（1）。1 例细菌感染呈阴性结果，1 例未确定。对铜绿假单胞菌病例的视力恢复为光感或更差，对表皮葡萄球菌和洋葱伯克霍尔德菌病例的视力恢复通常较好，而对病因不明的病例则为混合性。因此，BSPOE 很少见，病因也不同。严格遵守 iSBCS 2009 年 ISBCS 卓越的一般原则和手术室建设方面的护理似乎可以大大降低风险。
