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白内障手术后由肺炎链球菌引起的化脓性角膜炎。

Suppurative keratitis caused by Streptococcus pneumoniae after cataract surgery.

作者信息

Charteris D G, Batterbury M, Armstrong M, Tullo A B

机构信息

Manchester Royal Eye Hospital.

出版信息

Br J Ophthalmol. 1994 Nov;78(11):847-9. doi: 10.1136/bjo.78.11.847.

DOI:10.1136/bjo.78.11.847
PMID:7848983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC504971/
Abstract

Six elderly patients are described (age range 76-86 years) in whom a characteristic peripheral suppurative keratitis developed 1-36 months after uncomplicated cataract surgery. A corneal section had been used in all patients and four or five interrupted nylon sutures were present at the time of onset. Streptococcus pneumoniae was cultured from a corneal scrape in all cases. Treatment with appropriate antibiotics resulted in slow resolution though supplementary topical steroids were necessary in five of the six patients, and corneal opacification persists in all cases.

摘要

本文描述了6例老年患者(年龄范围76 - 86岁),他们在白内障手术无并发症后1 - 36个月发生了一种特征性的周边化脓性角膜炎。所有患者均使用了角膜切片,发病时存在四五根间断尼龙缝线。所有病例角膜刮片培养均发现肺炎链球菌。使用适当抗生素治疗后病情缓解缓慢,6例患者中有5例需要补充局部类固醇药物,所有病例均存在角膜混浊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/2b8155777250/brjopthal00035-0044-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/f725870da693/brjopthal00035-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/19a17a4a6be3/brjopthal00035-0044-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/2b8155777250/brjopthal00035-0044-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/f725870da693/brjopthal00035-0044-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/19a17a4a6be3/brjopthal00035-0044-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3781/504971/2b8155777250/brjopthal00035-0044-c.jpg

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Suppurative keratitis caused by Streptococcus pneumoniae after cataract surgery.白内障手术后由肺炎链球菌引起的化脓性角膜炎。
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Microbial keratitis at a referral center in Brazil.巴西一家转诊中心的微生物性角膜炎

本文引用的文献

1
Bilateral streptococcal corneoscleritis complicating beta irradiation induced scleral necrosis.
Br J Ophthalmol. 1993 Apr;77(4):251-2. doi: 10.1136/bjo.77.4.251.
2
Bacterial endophthalmitis following cutting of sutures after cataract surgery.
Am J Ophthalmol. 1982 Oct;94(4):528-33. doi: 10.1016/0002-9394(82)90249-5.
3
Complications of exposed monofilament sutures.暴露的单丝缝线的并发症。
Am J Ophthalmol. 1983 Apr;95(4):515-9. doi: 10.1016/0002-9394(83)90274-x.
4
Int Ophthalmol. 2011 Jun;31(3):197-204. doi: 10.1007/s10792-011-9441-0. Epub 2011 Mar 30.
Bacterial endophthalmitis associated with exposed monofilament sutures following corneal transplantation.
Am J Ophthalmol. 1985 Feb 15;99(2):111-3. doi: 10.1016/0002-9394(85)90217-x.
5
Ocular morbidity due to monofilament nylon corneal sutures.单丝尼龙角膜缝线导致的眼部病变
Eye (Lond). 1991;5 ( Pt 1):106-12. doi: 10.1038/eye.1991.20.
6
Should nylon corneal sutures be routinely removed?尼龙角膜缝线应该常规拆除吗?
Br J Ophthalmol. 1991 Nov;75(11):663-4. doi: 10.1136/bjo.75.11.663.