MMWR Morb Mortal Wkly Rep. 1998 Apr 24;47(15):306-9.
During January 8-14, 1998, six of eight patients undergoing elective intraocular surgery at a Veterans Affairs medical center (VAMC) in St. Louis, Missouri, developed corneal endothelial decompensation (corneal edema and opacification) < or =24 hours after surgery. All had been operated on with instruments sterilized by the Abtox Plazlyte system (Abtox, Inc., Chicago, Illinois). This report summarizes the results of the investigation of these cases and indicates that using the Abtox Plazlyte system to sterilize opthalmologic surgical equipment led to corneal decompensation.
1998年1月8日至14日期间,在密苏里州圣路易斯市一家退伍军人事务医疗中心(VAMC)接受择期眼内手术的8名患者中有6名在术后≤24小时出现角膜内皮失代偿(角膜水肿和混浊)。所有患者均使用由Abtox Plazlyte系统(Abtox公司,伊利诺伊州芝加哥)消毒的器械进行手术。本报告总结了对这些病例的调查结果,并表明使用Abtox Plazlyte系统对眼科手术设备进行消毒导致了角膜失代偿。