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眼内炎

endophthalmitis.

作者信息

Gunasekaran Nathan, Lee Kenneth R, Kam Andrew W, McCall Dominic, Waring Dale, Yeung Season, Fung Adrian T

机构信息

Department of Ophthalmology, Westmead Hospital, Westmead, New South Wales, Australia.

Westmead and Central Clinical Schools, Specialty of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

出版信息

Am J Ophthalmol Case Rep. 2022 Nov 7;28:101744. doi: 10.1016/j.ajoc.2022.101744. eCollection 2022 Dec.

Abstract

PURPOSE

To report a case of an exogenous endophthalmitis caused by the fungal species .

OBSERVATIONS

A 71-year-old male presented with an infectious keratitis that evolved into endophthalmitis. Combined cataract extraction and pars plana vitrectomy was performed and the vitreous specimen cultured a variant of the fungal species. Despite early treatment with topical, systemic and intravitreal doses of both voriconazole and amphotericin B, the patient had a poor visual and anatomical outcome.

CONCLUSIONS AND IMPORTANCE

may rarely cause endophthalmitis with devastating visual outcomes.

摘要

目的

报告一例由该真菌物种引起的外源性眼内炎病例。

观察结果

一名71岁男性患者出现感染性角膜炎,进而发展为眼内炎。进行了白内障摘除联合扁平部玻璃体切除术,并对玻璃体标本进行培养,发现了该真菌物种的一个变种。尽管早期使用了伏立康唑和两性霉素B的局部、全身及玻璃体内给药治疗,但患者的视力和解剖学预后较差。

结论与重要性

可能很少引起具有毁灭性视力后果的眼内炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c77/9650019/1b8b8241fc3b/gr1.jpg

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