Erkin E F, Durak I, Ferliel S, Maden A
Department of Ophthalmology, Celal Bayar University, Manisa, Turkey.
J Cataract Refract Surg. 1998 Sep;24(9):1280-2. doi: 10.1016/s0886-3350(98)80029-1.
Endophthalmitis after keratotomy is rare and usually occurs soon after surgery. A 56-year-old woman with mild dry-eye symptoms developed keratitis complicated by endophthalmitis 3 years after astigmatic keratotomy (AK). The keratitis lasted for less than 1 day in the upper keratotomy incision. Corneal cultures yielded. Pseudomonas aeruginosa. Keratitis progressed to endophthalmitis 1 day after the detection of keratitis. The inflammation was controlled with intravitreal, subconjunctival, topical, and systemic antibiotics. This case demonstrates the potential risk of endophthalmitis developing very shortly after late keratitis of AK incisions. Vigorous early treatment and close follow-up seem justifiable in any keratitis associated with a keratotomy incision.
角膜切开术后眼内炎罕见，通常在手术后不久发生。一名有轻度干眼症状的56岁女性在散光性角膜切开术（AK）3年后发生角膜炎并并发眼内炎。角膜切开术上方切口处的角膜炎持续不到1天。角膜培养检出铜绿假单胞菌。角膜炎检出1天后进展为眼内炎。通过玻璃体内、结膜下、局部和全身应用抗生素控制了炎症。该病例表明，AK切口晚期角膜炎后很快发生眼内炎的潜在风险。对于任何与角膜切开术切口相关的角膜炎，积极的早期治疗和密切随访似乎是合理的。
