延迟发作的内眼炎与玻璃眼相关 排水植入物植入物
Charles Zhang1, Georges AbouKasm2, Lauren Kiryakoza1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
American journal of ophthalmology
|February 10, 2026
概括
玻璃眼疏通植入物 (GDIs) 后的内眼炎通常呈现晚期,并且与管道暴露有关,导致视觉结果差. 及时治疗至关重要,但经常导致显著的视力丧失.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 玻璃眼的手术 玻璃眼的手术
背景情况:
- 玻璃眼排水植入物 (GDI) 用于管理耐火性玻璃眼.
- 眼内膜炎是一种严重的眼内感染,可发生在绿眼手术后.
- 与GDI相关的延迟发病内炎带来了独特的挑战.
研究的目的:
- 为了表征临床特征,微生物原因,和治疗结果的内眼炎在格洛科马排水植入物手术后.
- 为了确定GDI相关的内炎的风险因素和预后指标.
主要方法:
- 在2013年至2024年期间,为GDI相关的内炎治疗的患者的回顾性病例系列.
- 包括标准涉及记录的玻璃炎,内炎或阳性玻璃体培养物.
- 收集的数据包括临床表现,微生物学,管理和视力敏度结果.
主要成果:
- 分析了45名患者的45只眼睛,内炎的发病时间在植入后6周至11年 (中位数为4年) 之间.
- 在73%的病例中观察到管或板暴露;51%的病例呈阳性微生物培养,包括Staphylococcus epidermidis,S. aureus和mycobacteria.
- 尽管接受了包括视内抗生素和帕斯普拉纳视切除术在内的治疗,但视力敏度的结果很差,只有22%的人达到20/200或更好;一只眼睛需要去除核.
结论:
- 延迟发作的内眼炎是GDI手术的严重并发症,经常与植入物暴露有关.
- 管理通常需要植入物扩展,视觉预后仍然受到警.
- 进一步研究GDI相关内炎的预防策略和优化治疗方案是有必要的.
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