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眼内炎的手术治疗方法:综述

Surgical approach to endophthalmitis: an overview.

作者信息

Ramachandran Aiswarya, Das Taraprasad, Pathengay Avinash, Pappuru Rajeev Reddy, Dave Vivek Pravin

机构信息

Standard Chartered - LVPEI Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, Telangana, 500034, India.

Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, Anant Bajaj Retina Institute, LV Prasad Eye Institute, Hyderabad, Telangana, 500034, India.

出版信息

Eye (Lond). 2024 Sep;38(13):2516-2521. doi: 10.1038/s41433-024-03089-y. Epub 2024 May 2.

DOI:10.1038/s41433-024-03089-y
PMID:38698052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11384773/
Abstract

Endophthalmitis is one of the most severe ocular emergencies faced by ophthalmologists worldwide. Without prompt treatment significant visual loss is inevitable. With increased understanding of the science of endophthalmitis, recent studies have shown a clear role of early and more definitive surgery to achieve better visual and anatomic outcomes. Surgery in endophthalmitis encompasses a whole gamut of interventions. There are diagnostic procedures like anterior chamber tap and vitreous biopsy or therapeutic procedures like complete pars plana vitrectomy and retinal detachment repair. Current literature is deficient on a detailed description of the spectrum of surgical interventions in endophthalmitis. In the current communication, we summarize the studies based on various surgical interventions in endophthalmitis. We also elaborate in detail on each surgical maneuver, taking the reader through the nuances of each surgery via an exhaustive description and appropriate photos and surgical video clips.

摘要

眼内炎是全球眼科医生面临的最严重的眼部急症之一。若不及时治疗,不可避免地会导致严重视力丧失。随着对眼内炎科学认识的不断加深,最近的研究表明早期进行更确切的手术对于获得更好的视力和解剖学结果具有明确作用。眼内炎手术涵盖了一系列干预措施。有诊断性操作,如前房穿刺和玻璃体活检,也有治疗性操作,如完全性玻璃体切割术和平部视网膜脱离修复术。目前的文献缺乏对眼内炎手术干预范围的详细描述。在本交流中,我们总结了基于眼内炎各种手术干预的研究。我们还详细阐述了每一项手术操作,通过详尽的描述、合适的图片和手术视频片段,带领读者了解每项手术的细微差别。

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Surgical approach to endophthalmitis: an overview.眼内炎的手术治疗方法:综述
Eye (Lond). 2024 Sep;38(13):2516-2521. doi: 10.1038/s41433-024-03089-y. Epub 2024 May 2.
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引用本文的文献

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BMC Med Educ. 2025 Jan 2;25(1):3. doi: 10.1186/s12909-024-06611-8.

本文引用的文献

1
Immediate Vitrectomy for Acute Endophthalmitis in Patients with a Visual Acuity of Hand Motion or Better.视力手动或更好的急性眼内炎患者的立即玻璃体切除术。
Korean J Ophthalmol. 2022 Oct;36(5):390-397. doi: 10.3341/kjo.2022.0014. Epub 2022 Aug 19.
2
CULTURE POSITIVITY RATES OF DEEP VITREOUS BIOPSY UNDER AIR VIS-À-VIS CONVENTIONAL ANTERIOR VITREOUS BIOPSY IN ENDOGENOUS ENDOPHTHALMITIS.在内源性眼内炎中,空气视线下的深层玻璃体活检与传统的前段玻璃体活检相比,培养阳性率。
Retina. 2022 Nov 1;42(11):2128-2133. doi: 10.1097/IAE.0000000000003570.
3
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.
4
Does ophthalmic-grade silicone oil possess antimicrobial properties?眼科级硅油是否具有抗菌特性?
J Ophthalmic Inflamm Infect. 2019 Nov 1;9(1):20. doi: 10.1186/s12348-019-0187-6.
5
Infectious endophthalmitis leading to evisceration: spectrum of bacterial and fungal pathogens and antibacterial susceptibility profile.导致眼球内容剜出术的感染性眼内炎:细菌和真菌病原体谱及抗菌药敏情况
J Ophthalmic Inflamm Infect. 2019 May 16;9(1):9. doi: 10.1186/s12348-019-0174-y.
6
Sensitivity, specificity and predictive values of anterior chamber tap in cases of bacterial endophthalmitis.前房穿刺术在细菌性眼内炎病例中的敏感性、特异性及预测值。
Eye Vis (Lond). 2017 Jul 11;4:18. doi: 10.1186/s40662-017-0083-9. eCollection 2017.
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Acute endophthalmitis after cataract surgery: 164 consecutive cases treated at a referral center in South Korea.白内障手术后急性眼内炎:韩国一家转诊中心连续治疗的164例病例
Eye (Lond). 2017 Oct;31(10):1456-1462. doi: 10.1038/eye.2017.85. Epub 2017 May 26.
8
ROLE OF EARLY VITRECTOMY IN THE TREATMENT OF FUNGAL ENDOPHTHALMITIS.早期玻璃体切除术在真菌性眼内炎治疗中的作用。
Retina. 2018 Jul;38(7):1385-1392. doi: 10.1097/IAE.0000000000001727.
9
Isolated Anterior Lens Capsule Rupture Secondary to Blunt Trauma: Pathophysiology and Treatment.钝挫伤继发孤立性晶状体前囊破裂:病理生理学与治疗
Turk J Ophthalmol. 2016 Aug;46(4):197-199. doi: 10.4274/tjo.85547. Epub 2016 Aug 15.
10
Intralesional antibiotic injection using 41G needle for the management of subretinal abscess in endogenous endophthalmitis.使用41G针头进行病灶内抗生素注射治疗内源性眼内炎的视网膜下脓肿
Int J Retina Vitreous. 2016 Aug 1;2:17. doi: 10.1186/s40942-016-0043-x. eCollection 2016.