Ho P C, McMeel J W
Retina. 1983;3(2):99-102. doi: 10.1097/00006982-198300320-00005.
Two cases of postoperative endophthalmitis caused by Staphylococcus epidermidis occurring in 10,000 routine scleral buckling operations are reported. Intraocular access of bacteria is suspected through scleral perforations used for release of subretinal fluid and for air injection. In case 1, despite vigorous treatments with vitrectomy, corticosteroids, and antibiotics, visual acuity decreased to light perception. In case 2, with intensive therapy, visual acuity of 6/12 (20/40) was retained. The visual outcome seems to depend on the rapidity of diagnosis and the promptness of aggressive therapy before irreparable structural damage occurs.
报告了在10000例常规巩膜扣带手术中发生的2例由表皮葡萄球菌引起的术后眼内炎。怀疑细菌通过用于视网膜下液引流和空气注入的巩膜穿孔进入眼内。病例1尽管采用玻璃体切除术、皮质类固醇和抗生素进行了积极治疗，但视力仍降至光感。病例2经过强化治疗，保留了6/12（20/40）的视力。视力结果似乎取决于诊断的速度以及在不可修复的结构损伤发生之前积极治疗的及时性。
