Bellows A R, McCulley J P
Ophthalmology. 1981 Aug;88(8):839-43. doi: 10.1016/s0161-6420(81)34941-0.
Four female patients with known unplanned filtering blebs following cataract surgery developed endophthalmitis, two weeks to 30 months after being fit with corneal contact lenses. Three patients were wearing hard contact lenses and one wore a soft lens. Significant blepharoconjunctivitis was present and treated in two patients, but intraocular infection was not averted. When endophthalmitis was diagnosed, all patients had clinical evidence of a bleb infection as well as hypopyon. Despite aggressive medical therapy, two eyes required enucleation while two eyes survived with good vision. We recommend that eyes that have unplanned filtering blebs following cataract surgery should not have a contact lens inserted until the blebs have been closed.
4例白内障手术后出现意外滤过泡的女性患者，在佩戴角膜接触镜2周至30个月后发生了眼内炎。3例患者佩戴硬性接触镜，1例佩戴软性接触镜。2例患者出现明显的睑结膜炎并接受了治疗，但未能避免眼内感染。诊断眼内炎时，所有患者均有滤过泡感染及前房积脓的临床证据。尽管进行了积极的药物治疗，2只眼需要摘除眼球，而另外2只眼视力良好地存活下来。我们建议，白内障手术后出现意外滤过泡的眼睛，在滤过泡闭合之前不应插入接触镜。
