Deutsch T A, Goldberg M F
Ophthalmic Surg. 1984 Oct;15(10):837-40.
Pain is one of the classically described symptoms of postoperative bacterial endophthalmitis, and has been thought to be a useful and early warning symptom. Three cases, however, of culture-proved endophthalmitis presented without pain. Detection of abnormal physical findings suggested the diagnosis in each case, and led to the appropriate microbiologic evaluation and therapy. Early and frequent postoperative ocular inspection is the responsibility of the ophthalmologist. Exclusive reliance on symptoms experienced by the patient in the postoperative period is insufficient if complications such as endophthalmitis are to be diagnosed and treated optimally.
疼痛是术后细菌性眼内炎典型的症状之一，一直被认为是一个有用的早期警示症状。然而，有3例经培养证实的眼内炎患者并无疼痛表现。异常体征的发现提示了每例患者的诊断，并促成了适当的微生物学评估及治疗。术后早期且频繁地进行眼部检查是眼科医生的职责。如果要对诸如眼内炎等并发症进行最佳诊断和治疗，仅仅依赖患者术后所经历的症状是不够的。
