Hunter J W
Br J Ophthalmol. 1978 Jul;62(7):470-3. doi: 10.1136/bjo.62.7.470.
266 eyes were examined by the slit lamp 24 hours after uncomplicated intracapsular cataract extraction. An unexpectedly high incidence of 15% macroscopic hypopyons was found with a further 13% showing a trace. Possible aetiological irritative factors were investigated by individual exclusion, but did not materially alter the incidence. All the hypopyons spontaneously and rapidly regressed without specific treatment. The suggested explanation of hypopyon production is that operative plasmoid aqueous production, inflammatory reaction, and hyphaema, coupled with early mobilisation, allow gravitational sedimenting out of blood constituents, so that white cells will fall late, forming a layer above other blood constituents.
在单纯性囊内白内障摘除术后24小时，对266只眼进行了裂隙灯检查。发现宏观前房积脓的发生率意外地高，为15%，另有13%显示有微量积脓。通过逐个排除法研究了可能的病因性刺激因素，但并未实质性改变发生率。所有前房积脓均在未进行特殊治疗的情况下自发且迅速消退。对于前房积脓产生的推测性解释是，手术中产生的类浆水样房水、炎症反应和前房出血，再加上早期活动，使得血液成分因重力作用而沉降，这样白细胞会较晚沉降，在其他血液成分之上形成一层。
