白内障手术创面巩膜脓肿及眼内炎的简单处理技术

M. Kaur, T. Singh, Manoj Gupta
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引用次数: 0

摘要

报告一例白内障手术创面巩膜切口处巩膜脓肿合并眼内炎的满意结果。简单的辅助措施可提高此类病例保守治疗的成功率。方法:70岁女性,术后1周顺利行巩膜切口白内障手术,诊断为巩膜脓肿合并急性眼内炎。患者接受外科伤口清创治疗,并辅以局部、玻璃体内和全身抗生素。结果:术后20周末次随访最佳矫正视力达到20/40。结论:白内障术后巩膜脓肿和眼内炎是治疗的一大挑战。这种情况可以辅以细致的手术伤口清创。
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Simple Technique For The Management Of A Cataract Surgery Wound Site Scleral Abscess and Endophthalmitis
To report satisfactory outcome in a patient with scleral abscess at scleral incision cataract surgery wound site, along with endophthalmitis. Simple adjunctive measures enhance the success of conservative management for such cases. Method: Seventy-year-old female was diagnosed as scleral abscess with acute post operative endophthalmitis after one week of an uneventful scleral incision cataract surgery. The patient was managed with surgical wound debridement adjunctive to topical, intravitreal and systemic antibiotics. Results: Satisfactory final best corrected visual acuity of 20/40 was achieved at the last follow-up at 20 weeks. Conclusion: Post cataract surgery scleral abscess and endophthalmitis pose a significant management challenge. This condition may respond favourably with adjunctive meticulous surgical wound debridement.
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