滤过泡相关性真菌性眼内炎1例

Filtering bleb-associated fungal endophthalmitis: A case report

真菌性眼内炎是临床上少见的眼内感染疾病。因为其诊断延迟和抗真菌药物的有效性有限,因此真菌性眼内炎常常导致视力严重损害。按照感染性途径,真菌性眼内炎包括内源性和外源性,其中外源性眼内炎常见,进展较快,眼部手术术后感染是常见原因之一。小梁切除术是抗青光眼滤过性手术,是目前手术治疗青光眼的有效方法之一。滤过泡相关性眼内炎是其并发症之一,对患者视功能的损害尤为严重。本文通过回顾1例滤过泡相关性真菌性眼内炎患者的临床病例资料,讨论及分析滤过泡相关性的真菌性眼内炎的危险因素及诊治方法。

Fungal endophthalmitis is a disease which is a rare kind of interocular infection in clinic.Fungal endophthalmitis often results in severe visual impairment because of delayed diagnosis and limited effectiveness of antifungal drugs.Fungal endophthalmitis includes endogenous and exogenous endophthalmitis which is common and progresses rapidly.Postoperative infection is one of the common causes of fungal endophthalmitis.Trabeculectomy is an antiglaucoma filtering operation,and it is one of the effective methods for glaucoma surgery at present.Glaucomafiltering bleb infection is one of the complications of trabeculectomy,which can lead to severe visual impairment.In this article,we analyzed and discussed the risk factors,diagnosis and treatment methods about the filtering bleb-associated fungal endophthalmitis.