경결막무봉합유리체절제술 후 발생한 안내염 1예

• 영문명: A Case of Endophthalmitis after 25-gauge Transconjunctival Sutureless Vitrectomy
• 발행기관: 대한안과학회
• 저자명: 이지웅 김동주 신재필 김시열,Ji Woong Lee, M.D., Dong Ju Kim, M.D., Jae Pil Shin, M.D., Si Yeol Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number1, 172~178쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.01.31

영문 초록

Purpose: To report a case of endophthalmitis after 25-gauge transconjunctival sutureless vitrectomy. Methods: A 60-year-old male patient underwent 25-gauge transconjunctival sutureless vitrectomy through the epiretinal membrane. He was diagnosed as endophthalmitis on 7th postoperative day. Immediate vitrectomy and intravitreal antibiotics injection was done. Results: Coagulase-negative staphylococcus was identified in vitreous culture and incarcerated vitreous through the previous unsutured sclerotomies were found. During vitrectomy, we found generalized retinal necrosis and vascular occlusion with retinal hemorrhage, cheese like thick membrane firmly adherent to the retina due to inflammatory response. The organism was sensitive to antibiotics administered. After treatment, inflammatory response was controlled and the retina became stable but the visual outcome was poor. Conclusions: Vitreous incarceration through unsutured sclerotomy may occur after 25-gauge transconjunctival sutureless vitrectomy. This can be a possible conduit for bacteria in the eye and be a cause of endophthalmitis. Sutureless sclerotomy should be carefully monitered and managed postoperatively.

키워드

25-gauge transconjunctival sutureless vitrectomy, Endophthalmitis, Coagulase-negative staphylococcus