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Timely vitrectomy without intraocular lens removal for acute endophthalmitis after cataract surgery.白内障手术后急性眼内炎的及时玻璃体切除术且不摘除人工晶状体。
Int J Ophthalmol. 2022 Jun 18;15(6):1011-1014. doi: 10.18240/ijo.2022.06.21. eCollection 2022.
2
Postoperative Endophthalmitis After Cataract Surgery: An Update.白内障手术后的术后眼内炎：最新进展
Cureus. 2022 Feb 8;14(2):e22003. doi: 10.7759/cureus.22003. eCollection 2022 Feb.
3
Incidence of endophthalmitis after phacoemulsification cataract surgery: a Meta-analysis.白内障超声乳化吸除术后眼内炎的发生率：一项Meta分析。
Int J Ophthalmol. 2022 Feb 18;15(2):327-335. doi: 10.18240/ijo.2022.02.20. eCollection 2022.
4
Acute postoperative endophthalmitis after resurgery following primary cataract surgery: 9 years experience from a tertiary eyecare center.原发性白内障手术后再次手术的急性术后眼内炎：来自一家三级眼科中心的 9 年经验。
J Cataract Refract Surg. 2021 Aug 1;47(8):1050-1055. doi: 10.1097/j.jcrs.0000000000000584.
5
Acute Infectious Endophthalmitis After Cataract Surgery: Epidemiological Characteristics, Risk Factors and Incidence Trends, 2008-2019.白内障手术后急性感染性眼内炎：2008 - 2019年的流行病学特征、危险因素及发病趋势
Infect Drug Resist. 2021 Mar 25;14:1231-1238. doi: 10.2147/IDR.S304675. eCollection 2021.
6
Clinical Presentations and Comparative Outcomes of Delayed-Onset Low-Grade Endophthalmitis Managed with or Without Intraocular Lens Explantation.有或无人工晶状体植入术治疗迟发性低度眼内炎的临床表现及比较结果
Clin Ophthalmol. 2020 Feb 26;14:551-555. doi: 10.2147/OPTH.S243496. eCollection 2020.
7
Risk factors for endophthalmitis after cataract surgery in diabetic patients: a case control study.糖尿病患者白内障手术后眼内炎的危险因素：一项病例对照研究。
Int J Ophthalmol. 2019 Mar 18;12(3):417-423. doi: 10.18240/ijo.2019.03.11. eCollection 2019.
8
Earliella scabrosa-associated postoperative Endophthalmitis after Phacoemulsification with intraocular lens implantation: a case report.白内障超声乳化吸除联合人工晶状体植入术后与粗糙早孢菌相关的眼内炎：一例报告
BMC Ophthalmol. 2018 Feb 17;18(1):47. doi: 10.1186/s12886-018-0702-9.
9
Endophthalmitis after cataract surgery: Effect of behind-the-lens washout.白内障手术后眼内炎：晶状体后冲洗的效果。
J Cataract Refract Surg. 2017 Nov;43(11):1399-1405. doi: 10.1016/j.jcrs.2017.08.009.

白内障手术后急性感染性眼内炎行玻璃体切割术时是否取出人工晶状体

Intraocular lens removal or not during vitrectomy for acute infectious endophthalmitis after cataract surgery.

作者信息

Hui Yan-Nian

机构信息

Department of Ophthalmology, Xijing Hospital, Eye Institute of Chinese PLA, Fourth Military Medical University, Xi'an 710032, Shaanxi Province, China.

出版信息

Int J Ophthalmol. 2022 Jun 18;15(6):855-856. doi: 10.18240/ijo.2022.06.01. eCollection 2022.

DOI:10.18240/ijo.2022.06.01
PMID:35814899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9203482/
Abstract

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.

摘要

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。