植入可植入式角膜胶原交联晶体后的慢性术后眼内炎
Chronic postoperative endophthalmitis with implantable collamer lens.
作者信息
Wilkinson Samuel, Etheridge Tyler, Monson Bryan K, Larochelle Marissa B
机构信息
John A. Moran Eye Center, University of Utah, 65 N Mario Capecchi, Salt Lake City, UT, 84132, USA.
Monson Vision, 810 S 100 W Ste A Logan, UT, 84321, USA.
出版信息
Am J Ophthalmol Case Rep. 2022 Mar 25;26:101500. doi: 10.1016/j.ajoc.2022.101500. eCollection 2022 Jun.
PURPOSE
We report a case of chronic post-operative endophthalmitis secondary to () in a patient with an implantable collamer lens (ICL).
OBSERVATIONS
A 45-year-old male presented three months after ICL implantation of the right eye with blurry vision, redness, and ocular pain in the setting of prolonged post-operative anterior chamber (AC) cell. Reduced visual acuity (VA) at 20/30-1, keratic precipitates, 1+ AC cell, and white ICL precipitates were concerning for chronic post-operative endophthalmitis. Anaerobic cultures from a vitreous tap grew . Multiple intravitreal and intracameral injections with topical steroids were required to maintain a stable VA at 20/30; however, inflammation persisted and removal of the ICL and his native lens was ultimately required.
CONCLUSIONS AND IMPORTANCE
Chronic post-operative inflammation and white plaque after ICL implantation should raise high suspicion for endophthalmitis secondary to . Anaerobic vitreous cultures can confirm the diagnosis. Removal of the ICL implant is often necessary for treatment. More research is needed to best manage this vision threatening condition.
目的
我们报告一例植入可植入式胶原晶状体（ICL）的患者继发于（）的慢性术后眼内炎病例。
观察结果
一名45岁男性在右眼植入ICL三个月后出现视力模糊、眼红和眼痛，伴有术后前房（AC）细胞持续存在。视力（VA）降至20/30 - 1，角膜后沉着物，1+AC细胞，以及白色ICL沉着物提示慢性术后眼内炎。玻璃体穿刺的厌氧培养生长出（）。需要多次玻璃体内和前房内注射局部类固醇以将VA维持在20/30稳定水平；然而，炎症持续存在，最终需要取出ICL及其天然晶状体。
结论与重要性
ICL植入术后的慢性炎症和白色斑块应高度怀疑继发于（）的眼内炎。厌氧玻璃体培养可确诊。治疗通常需要取出ICL植入物。需要更多研究以更好地管理这种威胁视力的疾病。
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