摘要
Purpose: To report a case of endophthalmitis after triamcinolone acetonide (TA )-assisted par plane vitrectomy (PPV). Methods: A 60-year-old Japanese man de veloped endophthalmitis after TA-assisted PPV for diabetic macular edema. Preop erative visual acuity was 20/200. Four days after surgery, endophthalmitis assoc iated with anterior chamber hypopyon was noticed; the patient’s vision had dete riorated to hand motion. In spite of severe cell infiltration, the ciliary injec tion and ocular pain were not significant. Results: The additional PPV with irri gation of cefazolin (40 μug/ml) and gentamicin (8 μug/ml) was performed. Endop hthalmitis resolved soon after this treatment. Staphylococcus epidermidis was de tected in the intravitreous samples. The patient’s visual acuity improved to 20 /100. Conclusion: Endophthalmitis may be a complication of TA-assisted PPV with unique signs and symptoms.
Purpose: To report a case of endophthalmitis after triamcinolone acetonide (TA )-assisted par plane vitrectomy (PPV). Methods: A 60-year-old Japanese man de veloped endophthalmitis after TA-assisted PPV for diabetic macular edema. Preop erative visual acuity was 20/200. Four days after surgery, endophthalmitis assoc iated with anterior chamber hypopyon was noticed; the patient's vision had dete riorated to hand motion. In spite of severe cell infiltration, the ciliary injec tion and ocular pain were not significant. Results: The additional PPV with irri gation of cefazolin (40 μug/ml) and gentamicin (8 μug/ml) was performed. Endop hthalmitis resolved soon after this treatment. Staphylococcus epidermidis was de tected in the intravitreous samples. The patient's visual acuity improved to 20 /100. Conclusion: Endophthalmitis may be a complication of TA-assisted PPV with unique signs and symptoms.
出处
《世界核心医学期刊文摘(眼科学分册)》
2005年第2期28-28,共1页
Digest of the World Core Medical Journals:Ophthalmology