Zimmerman P L, Mamalis N, Alder J B, Teske M P, Tamura M, Jones G R
Department of Ophthalmology, University of Utah, Salt Lake City.
Arch Ophthalmol. 1993 Jun;111(6):837-40. doi: 10.1001/archopht.1993.01090060125036.
A 65-year-old man underwent an uncomplicated extracapsular cataract extraction with placement of a posterior chamber intraocular lens. The patient developed delayed-onset chronic endophthalmitis caused by Nocardia asteroides. This was confirmed on multiple intraocular cultures, as well as histopathologic examination of the lens capsular bag. The patient was treated with periocular, intravitreal, and systemic antibiotic treatment, combined with intraocular lens removal, total capsulectomy, and three vitrectomies in an attempt to eradicate the organism and calm the eye. The patient went on to develop widespread endophthalmitis that required enucleation of the infected globe. To our knowledge, this is the first case of delayed-onset chronic endophthalmitis caused by N asteroides after extracapsular cataract extraction with a posterior chamber intraocular lens.
一名65岁男性接受了无并发症的囊外白内障摘除术并植入了后房型人工晶状体。该患者发生了由星形诺卡菌引起的迟发性慢性眼内炎。多次眼内培养以及晶状体囊袋的组织病理学检查均证实了这一点。患者接受了眼周、玻璃体内和全身抗生素治疗，同时进行了人工晶状体摘除、全囊切除术和三次玻璃体切除术，试图根除病原体并使眼部炎症消退。该患者继而发展为广泛的眼内炎，需要摘除感染的眼球。据我们所知，这是首例在囊外白内障摘除并植入后房型人工晶状体后由星形诺卡菌引起的迟发性慢性眼内炎病例。
