内眼手術後眼内炎の治療成績

Therapeutic outcome of endophthalmitis following intraocular surgery

（26B2-17）　内眼手術後眼内炎12例12眼（原疾患は白内障7眼，眼内レンズ毛様溝縫着1眼，緑内障4眼）に対し，治療法，起因菌，視力予後などをレトロスペクティブに検討した。全症例中角膜切開が3眼に施行されておりでうち2眼は耳側切開であった。12眼中11眼に硝子体切除術を施行し，3眼には術中の抗菌薬眼内注入も追加した。房水と切除硝子体からの培養により起因菌は7眼で同定され，内訳はStfeptococcus　4眼（3眼はα群），Methicllin-resistant Staphylococcus aureus （MRSA）2眼，Enterococcus faecalis　1眼であった。特に，StrePtococcusを起因菌とする症例で予後不良の傾向がみられた。

We reviewed 12 eyes of 12 patients who developed endophthalmitis following intraocular surgery. The preceding procedures were cataract surgery 7 eyes, secondary intraocular lens implantation with sulcus fixation 1 eye and glaucoma surgery 4 eyes. Corneal incision had been performed in 3 eyes, including along the temporal limbus in 2 eyes. Vitrectomy was performed for endophthalmitis in 11 eyes with additional intravitreal injection of antibiotics in 3 eyes. Culture from the aqueous or the vitreous was positive in 7 eyes. Streptococcal species in 4 eyes including a type in 3, methicillin-resistant Staphylococcus aureus (MRSA) in 2 eyes and Enterococcus faecalis in 1 eye. Eyes infected by Streptococcal species resulted in poor visual outcome in general.