Nam Ki-Yup, Lee Hong-Won
Department of Ophthalmology, Chungnam National University, College of Medicine, Daejeon 35015, South Korea.
Department of Ophthalmology, Chungnam National University Hospital, Daejeon 35015, South Korea.
World J Clin Cases. 2023 Sep 26;11(27):6592-6596. doi: 10.12998/wjcc.v11.i27.6592.
()-induced endophthalmitis is very rare and and may present as either acute or chronic postoperative endophthalmitis. The aim of this study was to report a case of delayed-onset -induced endophthalmitis that occurred several months after cataract surgery.
A 78-year-old man presented with decreased vision, pain and redness in the right eye that had begun 3 days prior. He had undergone cataract surgery 4 mo prior. Visual acuity was counting fingers; slit-lamp examination revealed conjunctival injection, posterior corneal precipitates, anterior chamber inflammation (cell 4+), and hypopyon. Fundus examination revealed moderate vitreous haze. Urgent vitrectomy was performed for suspected infectious endophthalmitis, followed by vitreous irrigation with injections of antibiotics. On the postoperative day 1, anterior chamber cell decreased to 2+ and hypopyon was not observed on slit lamp examination. Six days postoperatively, the patient had recurrent eye pain, and the anterior chamber cell grade increased to 4+; hypopyon recurred in the anterior chamber, and whitish plaque was observed in the lens capsule. Therefore, the patient underwent intraocular lens (IOL) and lens capsule removal, followed by vitreous irrigation, antibiotics injection, and vitrectomy. was identified from a lens capsule culture.
In cases of delayed-onset -induced endophthalmitis, early vitrectomy and removal of the IOL and lens capsule may be necessary.
（）诱发的眼内炎非常罕见，可表现为急性或慢性术后眼内炎。本研究的目的是报告一例白内障手术后数月发生的迟发性（）诱发眼内炎病例。
一名78岁男性，右眼视力下降、疼痛和眼红3天前开始出现。他4个月前接受了白内障手术。视力为眼前指数；裂隙灯检查显示结膜充血、角膜后沉着物、前房炎症（细胞4+）和前房积脓。眼底检查显示中度玻璃体混浊。因怀疑感染性眼内炎进行了紧急玻璃体切除术，随后进行玻璃体冲洗并注射抗生素。术后第1天，前房细胞减少至2+，裂隙灯检查未观察到前房积脓。术后6天，患者再次出现眼痛，前房细胞分级增加至4+；前房再次出现前房积脓，晶状体囊膜可见白色斑块。因此，患者接受了人工晶状体（IOL）和晶状体囊膜摘除术，随后进行玻璃体冲洗、抗生素注射和玻璃体切除术。从晶状体囊膜培养物中鉴定出（）。
在迟发性（）诱发眼内炎的病例中，早期玻璃体切除术以及人工晶状体和晶状体囊膜的摘除可能是必要的。
