Infection after intraocular lens implantation in one case of gonococcal conjunctivitis.docVIP

 PAGE \* MERGEFORMAT 5 Infection after intraocular lens implantation in one case of gonococcal conjunctivitis [Keywords:] intraocular lens implantation Gonococci infections A case report Male patient, 28 years old, right eye visual loss due to more than 5 years to our hospital. Outpatient investigation vision: right eye 0.02, lens opacity grade Ⅲ, I check the negative. The “right eye cataract,” admitted the line “right eye cataract extraction removal of posterior chamber intraocular lens implantation, “the smooth operation, G800 million U of penicillin after day 1 infusion, tobradex eye drops 4 times a day. postoperative day 1 visual acuity of 0.1, mild pain. after 2 days, the right eye the pain intensified, photophobia, tearing, eyelid edema, conjunctival hyperemia, a small amount of bloody discharge. return visit 3 days after surgery, patients with severe right eye pain, eye examination: visual acuity eyes number refers to a high degree of eyelid edema, conjunctival hyperemia, edema increased, a large number of mucopurulent discharge. smear microscopy of excretion said: gram-negative diplococci 8 / H, pus ++++, conjunctival bacteria Training was identified as Gonococci. examination: body temperature 39.1 ℃, blood pressure 16.3/10.2kpa. blood: Hb156g / L, WBC19.8 × 109 / L. According to the results of microscopic examination and diagnosis of bacterial culture gonococcal infection after conjunctival Yan [1]. immediately given saline plus gentamicin 80 000 U 30ml 1 hour wash conjunctival sac, ofloxacin eye drops every 5 to 10 minutes 1 eye, conjunctiva before going to sleep every night Tu tetracycline eye ointment 1, increase the dose of penicillin G 12 million U day 1 infusion, 2 weeks of treatment, patients with symptoms disappear, cured and discharged. 2 results Infection occurred immediately after the patient was used in ENT eye drops, eye ointment, injection of liquid bacterial cultures and found no bacteria growth. Surgical anesthesia