Kivlin J D, Wilson M E
Department of Ophthalmology, Pediatric Ophthalmology, Strabismus, and Genetics, Medical College of Wisconsin, Milwaukee, USA.
J Pediatr Ophthalmol Strabismus. 1995 Jan-Feb;32(1):42-9. doi: 10.3928/0191-3913-19950101-10.
Fewer than 15 cases of cellulitis and subconjunctival abscess after extraocular muscle surgery have been reported in detail. In an effort to provide greater information about this serious complication, the members of the American Association for Pediatric Ophthalmology and Strabismus (AAPO&S) were surveyed and contributed cases were analyzed. Among the 25 cases of cellulitis, there was a predominance of preschool age patients and Staphylococcus aureus cultures. Many cases presented after a normal initial postoperative visit. The most common symptoms were marked swelling and pain. Possible predisposing factors included unsuspected sinusitis, eye rubbing, and poor hygiene. Two patients had documented bacteremia, but no patient developed endophthalmitis. All cases resolved on antibiotics, but only five patients were successfully treated with oral antibiotics alone. Periocular infections after extraocular muscle surgery can present after a normal initial postoperative visit. Symptoms of marked swelling and pain are cause for closer inspection. S. aureus is the most common organism and oral antibiotics alone can fail to halt the infection.
眼外肌手术后发生蜂窝织炎和结膜下脓肿的病例详细报道少于15例。为了提供更多关于这种严重并发症的信息，对美国小儿眼科与斜视协会（AAPO&S）的成员进行了调查，并对所提供的病例进行了分析。在25例蜂窝织炎病例中，学龄前患者和金黄色葡萄球菌培养占多数。许多病例在术后首次正常复诊后出现。最常见的症状是明显肿胀和疼痛。可能的诱发因素包括未被怀疑的鼻窦炎、揉眼和卫生状况差。两名患者记录有菌血症，但没有患者发生眼内炎。所有病例经抗生素治疗后均痊愈，但只有5例患者仅用口服抗生素就成功治愈。眼外肌手术后的眼周感染可在术后首次正常复诊后出现。明显肿胀和疼痛的症状需要仔细检查。金黄色葡萄球菌是最常见的病原体，仅用口服抗生素可能无法控制感染。
