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KMID : 1191420100090010024
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Korean Journal of Optometry and Vision Science
2010 Volume.9 No. 1 p.24 ~ p.28
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Acute Postoperative Endophthalmitis by Pseudomonas Aeruginosa after Cataract Surgery
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Rhim Won-IL
Ku Hee-Chan
Lee Eun-Koo
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Abstract
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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.
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KEYWORD
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Endophthalmitis, Pseudomonas aeruginosa, Vitrectomy
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