Journal of the Korean Ophthalmological Society 1993;34(8):812-817.
Published online August 1, 1992.
Consecutive Endophthalmitis after Intraocular Surgery.
Jin Chung, Sang Moon Chung, Nam Ho Baek
Department of Ophthalmology, Catholic University, Medical College, Seoul, Korea.
연속적으로 시행한 안내수술에서 발생한 안내염
정진(Jin Chung),정상문(Sang Moon Chung),백남호(Nam Ho Baek)
Abstract
Postoperative endophthalmitis has been greatly improved over the past decade by the use of improved medical therapy and the use of vitrectomy. However, the appropriate use of the different treatment modalities and the appropriate time of vitrectomy in the treatment of postoperative endophthalmitis remains controversial. We have experienced consecutive endophthalmitis following 2 cases of cataract surgery, 1 case of glaucoma filtering surgery with cataract operation and 1 case of secondary posterior chamber intraocular lens(PCL) implantation. We report the presumed cause of endophthalmitis and its therapeutic results. 1. Four of five patients who underwent cataract and combined glaucoma surgery were detected Pseudomonas aeruginosa and its infective cause presumed to be the I and A Kit of phacoemulsifier(Cavltron Kelman 8000). 2. More severe 3 of 4 patients who developed postoperative endohthalmitis were treated with vitrectomy and mild 1 patient was treated medically. 3. At the time of follow-up(mean, 11 months), the final corrected average visual acuity of 20/30 was achieved.
Key Words: Endophthalmitis;Vitrectomy;Pseudomonas aeruginosa


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