| 백내장 수술 후 발생한 급성 녹농균 안내염 |
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임원일, 구희찬, 이은구 |
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Kong Eye Hospital, Seoul, Korea |
| Acute Postoperative Endophthalmitis by Pseudomonas Aeruginosa after Cataract Surgery |
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Won Il Rhim, Hee Chan Ku, Eun Koo Lee |
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| Abstract |
Purpose
To discuss the treatment of acute postoperative endophthalmitis caused by Pseudomonas after cataract surgery. Methods: Retrospective review of four cases of acute postoperative Pseudomonas endophthalmitis after cataract surgery. Results: Acute postoperative endophthalmitis caused by Pseudomonas aeruginosa occurred in 3 cases who underwent cataract surgery on the same day at the same clinic. The first patient who had severe intraocular inflammation blocking fundus examination recovered visual acuity to 0.02 after vitrectomy and intravitreal antibiotics injection. The second and third patients recovered visual acuity to 0.9 after intravitreal antibiotics injection. In another patient who also had acute postoperative endophthalmitis caused by Pseudomonas aeruginosa. We performed vitrectomy and intravitreal antibiotics injection. In this case, secondary vitrectomy was performed for progressive retinal detachment and hypotony caused by proliferative vitreoretinopathy 4 weeks later. The eyeball was saved and the patient recovered visual acuity to hand movement. Conclusions: Immediate treatment is essential to preserve the eyeball and vision in cases of acute, rapid progressive postoperative endophthalmitis. (Korean J Optom Vis Sci 2010;9(1):24-28) |
| Key Words:
Endophthalmitis, Pseudomonas aeruginosa, Vitrectomy |
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