与囊外白内障摘除术及后房型人工晶状体相关的晶状体过敏性眼内炎
Phacoanaphylactic endophthalmitis associated with extracapsular cataract extraction and posterior chamber intraocular lens.
作者信息
Apple D J, Mamalis N, Steinmetz R L, Loftfield K, Crandall A S, Olson R J
出版信息
Arch Ophthalmol. 1984 Oct;102(10):1528-32. doi: 10.1001/archopht.1984.01040031248029.
We describe the clinicopathologic findings in a patient who underwent extracapsular cataract extraction (ECCE) with insertion of a posterior chamber intraocular lens (IOL). The patient had a sterile hypopyon and anterior uveitis that temporarily subsided but recurred. The inflammation actually worsened after removal of the IOL, and the eye was enucleated. Histopathologic examination showed a pattern consistent with phacoanaphylactic endophthalmitis. We therefore postulate that the patient's complications were due to hypersensitivity to her own lens protein, which remained after the ECCE, rather than to the IOL itself.
我们描述了一名接受囊外白内障摘除术（ECCE）并植入后房型人工晶状体（IOL）的患者的临床病理结果。该患者出现无菌性前房积脓和前葡萄膜炎，症状暂时缓解但复发。实际上，在人工晶状体取出后炎症反而加重，最终该眼被摘除。组织病理学检查显示的模式与晶状体过敏性眼内炎一致。因此，我们推测患者的并发症是由于对其自身在囊外白内障摘除术后残留的晶状体蛋白过敏，而非人工晶状体本身所致。
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