Characteristics after cataract extraction or secondary lens implantation among patients screened for the Endophthalmitis Vitrectomy Study.
Characteristics after cataract extraction or secondary lens implantation among patients screened for the Endophthalmitis Vitrectomy Study.
复制标题
眼内炎玻璃体切除术研究筛查患者白内障摘除或二次晶状体植入后的特征。
DOI：
10.1016/s0161-6420(00)00165-2
复制
发表时间：
2000
期刊：
影响因子：
13.7
通讯作者：
Doft,BH
中科院分区：
文献类型：
--
作者：
Wisniewski,SR;Capone,A;Kelsey,SF;Groer-Fitzgerald,S;Lambert,HM;Doft,BH
眼内炎玻璃体切除术研究（EVS）中筛选入组的白内障摘除术或二次透镜植入手术后眼内炎临床诊断患者的临床眼科特征和历史发现。横断面研究。参与者850-四名怀疑在白内障摘除术或二次透镜植入术后患有眼内炎的患者。方法作为该研究筛选过程的一部分，对于所有在白内障摘除术或二次透镜植入手术后出现眼内炎的患者，不论患者是否符合入选标准，均以标准化的形式记录眼部检查、病史和人口统计学数据。主要结果测量：出现可疑细菌性眼内炎的个体的平均年龄为75岁（范围，9-100岁）。大多数接受筛查的人（57.7%）是妇女。79%的患者在手术后6周内寻求治疗。视力模糊、结膜充血、疼痛和眼睑肿胀是主要的临床症状。眼痛和前房积脓，被广泛认为是眼内炎的诊断，在25%的患者中均不存在。中位前房积脓高度，当存在时，为1.5 mm. CONCLUSIONSTH术后眼内炎的经典表现包括视力下降，结膜充血，疼痛，前房积脓，和眼睑肿胀后几天内白内障手术或二次透镜植入。这些也是EVS的突出临床结果。由于疼痛和前房积脓虽然常见，但并不总是存在，因此临床医生在术后监测患者时必须保持警惕。
PURPOSEThis report describes the presenting clinical ophthalmic features and historical findings in patients with a clinical diagnosis of endophthalmitis after cataract extraction or secondary lens implant surgery screened for enrollment in the Endophthalmitis Vitrectomy Study (EVS).DESIGNClinic-based, cross-sectional study.PARTICIPANTSEight hundred fifty-four patients suspected to have endophthalmitis after cataract extraction or secondary lens implantation.METHODSAs part of the screening process for the study, an eye examination, a medical history, and demographic data were recorded in standardized form for all patients with endophthalmitis after cataract extraction or secondary lens implant surgery referred to the clinical centers, regardless of whether the patient met entry criteria.MAIN OUTCOME MEASURESDemographics, presenting signs, and symptoms.RESULTSThe median age of individuals presenting with suspected bacterial endophthalmitis was 75 years (range, 9–100 years). Most of those screened (57.7%) were women. Seventy-nine percent of patients sought treatment within 6 weeks of surgery. Blurred vision, conjunctival injection, pain, and lid swelling were the predominant presenting symptoms in order of prevalence. Ocular pain and hypopyon, widely regarded as diagnostic of endophthalmitis, were each absent in 25% of patients. The median hypopyon height, when present, was 1.5 mm.CONCLUSIONSThe classic presentation of postoperative endophthalmitis includes reduced vision, conjunctival hyperemia, pain, hypopyon, and lid swelling within days after cataract surgery or secondary lens implantation. These were the prominent clinical findings in the EVS as well. Because pain and hypopyon, although common, were not always present, clinicians must be vigilant in postsurgical monitoring of patients.