Endophthalmitis following Nd:YAG laser posterior capsulotomy.

Endophthalmitis following Nd:YAG laser posterior capsulotomy.
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Nd:YAG 激光后囊切开术后眼内炎。

DOI:
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发表时间:
1988
期刊:
Ophthalmic surgery
影响因子:
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通讯作者:
D. Koch
D. Koch
中科院分区:
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文献类型:
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作者:
A. Carlson;D. Koch

文献摘要

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我们报告Nd:YAG激光后囊膜切开术后发生痤疮丙酸杆菌眼内炎。患者之前接受了简单的白内障囊外摘除术并人工晶状体植入术,并且在激光囊切除术之前没有炎症。诊断性玻璃体切除和水冲洗,在厌氧条件下培养9天后,从硫醇肉汤培养基中分离出痤疮假单胞杆菌。患者给予局部和全身抗生素和类固醇治疗。在不切除人工晶状体或晶状体残余的情况下,炎症完全消退,视力恢复到20/25。
We report the development of Propionibacterium acnes endophthalmitis following Nd:YAG laser posterior capsulotomy. The patient previously underwent uncomplicated extracapsular cataract extraction with intraocular lens insertion and was free of inflammation prior to laser capsulotomy. Diagnostic vitrectomy and aqueous tap were performed, and P. acnes was isolated from the aqueous in thiol broth media after nine days of incubation under anaerobic conditions. The patient was managed with topical and systemic antibiotics and steroids. Complete resolution of inflammation with return of vision to 20/25 was achieved without removal of the intraocular lens or lenticular remnants.