白内障术后粪肠球菌眼内炎1例并文献复习  

Enterococcus faecalis endophthalmitis after cataract surgery:a case report and literature review

作　　者：李曼 王艳玲[1] 赵露[1] LI Man;WANG Yanling;ZHAO Lu(Department of Ophthalmology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Anesthesiology,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京友谊医院眼科,北京100050 [2]中日友好医院麻醉科,北京100029

出　　处：《山东大学耳鼻喉眼学报》2022年第6期56-59,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 分析白内障术后粪肠球菌眼内炎的危险因素和病程特点,探讨最佳诊疗方案。方法 对1例76岁左眼白内障术后粪肠球菌眼内炎患者的诊疗过程进行回顾分析。结果 诊断感染性眼内炎后急诊行玻璃体切除术,术后1周患眼视力恢复至0.6。结论 粪肠球菌眼内炎具有起病急、进展快的特点,诊疗过程中应密切关注患者病情变化,准确判断病情阶段和尽早选择玻璃体切除手术可改善患者预后。Objective To analyze the risk factors and clinical characteristics of Enterococcus faecalis endophthalmitis after cataract surgery and provide information for inproring diagnosis and therapy. Methods The medical records of a 76-year-old patient diagnosed with Enterococcus faecalis endophthalmitis after cataract surgery in our hospital were reviewed. Results The patient underwent a vitrectomy, and the best-corrected visual acuity of the affected eye recovered to 0.6(standard logarithmic visual acuity chart) one week later. Conclusion Entercococcal faecalis endophthalmitis is characterized by rapid onset and deterioration. Careful attention should be paid to the clinical condition of the patient during diagnosis and treatment. Accurately estimating the clinical course of the disease and adopting appropriate treatment as soon as possible can improve the prognosis.

关 键 词：白内障手术 感染性眼内炎 粪肠球菌 玻璃体切除术 

分 类 号：R776.1[医药卫生—眼科] R378.1[医药卫生—临床医学]