괴사성 공막염으로 안내염이 발생하여 유리체절제술 및 영구양막이식술로 치료한 1예 보고

• 영문명: A Case of Endophthalmitis With Necrotizing Scleritis Treated With Vitrectomy and Permanent Amniotic Membrane Transplantation
• 발행기관: 대한안과학회
• 저자명: 이상윤 허장원 위원량 이진학 김미금,Sang Yoon Lee, MD, Jang Won Heo, MD,, Won Ryang Wee, MD, PhD,, Jin Hak Lee, MD, PhD,, Mee Kum Kim, MD, PhD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number1, 97~102쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.01.15

영문 초록

Purpose: To report a case of a patient with infectious endophthalmitis associated with necrotizing scleritis that was treated with pars plana vitrectomy and permanent amniotic membrane transplantation. Case summary: A 76-year-old man with pain and visual loss in the right eye was diagnosed with infectious endophthalmitis and necrotizing scleritis. The visual acuity in the right eye was hand motion, and the slit lamp examination showed infection of the conjunctiva and sclera, corneal edema, hypopyon, and necrosis of nasal sclera. An intravitreal antibiotic injection was given, and Pseudomonas aeruginosa was cultured in vitreous fluid. Two days afterward, when vitrectomy was performed, leakage from the scleral microperforation and necrosis of the peripheral cornea was observed. Thus, a 10-layered permanent amniotic membrane transplantation was performed. The patient was given topical antibiotics and steroids, oral prednisolone, and cyclophosphamide postoperatively. After 74 days, endophthalmitis was remitted, and scleritis was well controlled. His visual acuity recovered to 20/40. Conclusions: Infectious endophthalmitis due to scleral microperforation by necrotizing scleritis can be treated effectively with vitrectomy combined with permanent amniotic membrane transplantation. J Korean Ophthalmol Soc 2011;52(1):97-102

키워드

Amniotic membrane, Endophthalmitis, Scleritis