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Encyclopedia of Materials: Science and Technology (v. 10) 1st

2001年

作者： K.H.j. Buschow Ph.D. Robert Cahn Merton C Flemings Bernhard Ilschner edward j kramer Subhash Mahajan Patrick Veyssiere

来源：畅想之星图书光盘版（南... 评论

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Endogenous fungal endophthalmitis:risk factors,clinical course,and visual outcome in 13 patients

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International journal of Ophthalmology(English edition) 2021年第1期14卷 97-105页

作者： jamel Corredores Itzhak Hemo Tareq jaouni Zohar Habot-Wilner Michal kramer Shiri Shulman Haneen jabaly-Habib Ala'a Al-Talbishi Michael Halpert edward Averbukh jaime Levy Iris Deitch-Harel Radgonde Amer Department of Ophthalmology Hadassah Medical CenterJerusalem 91240Israel Sackler Faculty of Medicine Tel Aviv UniversityTel Avi 6997801Israel Division of Ophthalmology Tel Aviv Sourasky Medical CenterTel Aviv 64239Israel Division of Ophthalmology Rabin Medical CenterPetah Tikva 49100Israel Department of Ophthalmology Poriya Medical CenterTiberias 1528001Israel St john Eye Hospital Jerusalem 91198Israel Faculty of Medicine Hebrew University of JerusalemJerusalem 9112102Israel

AIM:To analyze the risk factors,ophthalmological features,treatment modalities and their effect on the visual outcome in patients with endogenous fungal endophthalmitis(EFE).METHODS:Data retrieved from the medical files included age at presentation to the uveitis clinic,gender,ocular symptoms and their duration before presentation,history of fever,eye affected,anatomical diagnosis and laboratory evidence of fungal *** therapy recorded included systemic antifungal therapy and its duration,use of intravitreal antifungal agents and use of oral/intravitreal *** procedures and the data of ophthalmologic examination at presentation and at last follow-up were also ***:Included were 13 patients(20 eyes,mean age 58 y).Ten patients presented after gastrointestinal or urological interventions and two presented after organ *** one patient,there was no history of previous *** vitrectomy was performed in 16 eyes(80%)and vitreous cultures were positive in 10 of the vitrectomized eyes(62.5%).In only 4 patients(31%),blood cultures were *** patients received systemic antifungal *** eyes(80%)received intravitreal antifungal agent with voriconazole being the most commonly *** acuity(VA)improved from 0.9±0.9 at initial exam to 0.5±0.8 logMAR at last followup(P=0.03).A trend of greater visual improvement was noted in favor of eyes treated with oral steroids(±intravitreal dexamethasone)than eyes that were not treated with *** most common complication was *** eyes(60%)showed no ocular ***:High index of suspicion in patients with inciting risk factors is essential because of the low yield of blood cultures and the good general condition of patients at *** prognosis is improved with the prompt institution of systemic and intravitreal pharmacotherapy and the immediate surgical ***±local steroids could be considered

关键词： endophthalmitis endogenous fungal endophthalmitis endogenous endophthalmitis fungal endophthalmitis candida endophthalmitis

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