Hui Yan-Nian
Department of Ophthalmology, Xijing Hospital, Eye Institute of Chinese PLA, Fourth Military Medical University, Xi'an 710032, Shaanxi Province, China.
Int J Ophthalmol. 2022 Jun 18;15(6):855-856. doi: 10.18240/ijo.2022.06.01. eCollection 2022.
At present, the incidence of infectious endophthalmitis after cataract surgery has been significantly reduced, but it is still a serious complication. Removal or not of the intraocular lens (IOL) during vitrectomy in cases with a moderate or severe inflammation is controversial. In order to call upon more discussion, we publish the article entitled "Timely vitrectomy without intraocular lens removal for acute endophthalmitis after cataract surgery" written by Guo in this issue. With recent advanced vitrectomy techniques, and critical measures for management of risk factors related to occurrence of infection, IOL remaining during timely vitrectomy for acute endophthalmitis can possibly be safe and effective in selected cases.
目前,白内障手术后感染性眼内炎的发生率已显著降低,但它仍然是一种严重的并发症。在中度或重度炎症病例的玻璃体切除术中是否取出人工晶状体(IOL)存在争议。为了引发更多讨论,我们在本期发表了郭撰写的题为《白内障手术后急性眼内炎及时行玻璃体切除术而不取出人工晶状体》的文章。随着近期玻璃体切除技术的进步,以及针对感染发生相关危险因素的关键管理措施,在急性眼内炎及时行玻璃体切除术时保留IOL在某些选定病例中可能是安全有效的。