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

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.