Kandarakis Stylianos A, Doumazos Leonidas, Mitsopoulou Dimitra, Economou Mario A, Mylona Ioanna, Dimitriou Chrysostomos, Petrou Petros, Georgalas Ilias
First Department of Ophthalmology, G. Gennimatas Hospital, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Sophiehemet Hospital, 114 86 Stockholm, Sweden.
Diagnostics (Basel). 2022 Aug 27;12(9):2075. doi: 10.3390/diagnostics12092075.
At the present time, as newer techniques and minimally invasive procedures gain popularity among anterior segment surgeons for regulating intraocular pressure, trabeculectomy still has a leading role in glaucoma surgery. Trabeculectomy retains a highly successful and safe profile; however, one of the major complications includes bleb-related infections (BRIs). To date, the most common pathogens remain , but the list of pathogens that have been identified in the literature includes more than 100 microorganisms. Because antibiotic use is more widespread than ever before and our ability to identify pathogens has improved, the pathogen spectrum will broaden in the future and more pathogens causing BRIs will be described as atypical presentations. The scope of this review was to identify all pathogens that have been described to cause bleb-related infections to date, as well as focus on the risk factors, clinical presentation, and various available diagnostic tools used for an appropriate diagnostic workup.
目前，随着更新的技术和微创手术在眼前段手术医生中越来越受欢迎，用于调节眼压，但小梁切除术在青光眼手术中仍占据主导地位。小梁切除术仍然具有高度的成功率和安全性；然而，主要并发症之一包括与滤过泡相关的感染（BRIs）。迄今为止，最常见的病原体仍然是……，但文献中已鉴定出的病原体列表包括100多种微生物。由于抗生素的使用比以往任何时候都更广泛，而且我们识别病原体的能力有所提高，未来病原体谱将扩大，更多导致BRIs的病原体将被描述为非典型表现。本综述的范围是确定迄今为止已被描述为导致与滤过泡相关感染的所有病原体，并关注危险因素、临床表现以及用于适当诊断检查的各种可用诊断工具。
