23게이지 무봉합 유리체절제술 후 발생한 급성 안내염 1예

• 영문명: A Case of Acute Endophthalmitis After 23-gauge Transconjunctival Sutureless Vitrectomy
• 발행기관: 대한안과학회
• 저자명: 정재훈 장동진 이원기 신채호 박상철 류정완,Jae Hun Chung, MD, Dong Jin Chang, MD, Won Ki Lee, MD, Chai Ho Shin, MD, Sang Chul Park, MD, Jeong Wan Ryu, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number6, 899~903쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.06.15

영문 초록

Purpose: To report a case of acute endophthalmitis associated with 23-gauge transconjunctival sutureless vitrectomy and gas tamponade for macular hole surgery. Case summary: A 66-year-old female patient who presented with a macular hole in the left eye was treated with 23-gauge transconjunctival sutureless vitrectomy. On postoperative day 2, the patient developed acute endophthalmitis and was treated with gas-fluid exchange, lensectomy and intravitreal antibiotic injection. Staphylococcus epidermidis was detected in the vitreous fluid of the operated eye. Intraoperative fundus findings showed severe retinal hemorrhage, vascular occlusion and fibrous membranes due to inflammatory response. After treatment, the patient’s fundus findings markedly improved and the inflammatory response was controlled. Conclusions: Acute endophthalmitis after sutureless vitrectomy performed via intraocular gas injection may quickly result in inflammation and disease due to infection. Immediate reoperation and intravitreal antibiotic injections are recommended in such cases. J Korean Ophthalmol Soc 2010;51(6):899-903

키워드

23-gauge transconjunctival sutureless vitrectomy, Endophthalmitis, Macular hole, Staphylococcus epidermidis