肝移植术后内源性真菌性眼内炎附一例报告和文献回顾

目的探讨肝移植术后并发内源性真菌性眼内炎的临床特征。方法分析1例肝移植术后并发内源性真菌性眼内炎患者的临床资料，回顾相关文献。结果肝移植术后并发内源性真菌性眼内炎较少见，该例为我院超过300例肝移植患者中仅有的1例；早期诊断困难，早期手术，取材病理活检对诊断和治疗有帮助。全身抗真菌治疗注意肝损害。结论肝移植术后并发内源性真菌性眼内炎早期诊断困难，可考虑及早手术治疗，但视功能预后不良。

Endogenous fungal endophthalmitis after orthotopic liver transplantation

Objective To investigate the clinical features of endogenous fungal endophthalmitis in orthotopic liver transplantation. Methods A case of endogenous fungal endophthalmitis in orthotopic liver transplantation was reported and the interrelated literatures were reviewed. Results Endogenous fungal endophthalmitis rarely occured in orthotopic liver transplantation. This was the only one of the over 300 cases that had done orthotopic liver transplantations in our hospital. Early diagnosis was rather difficult, early operation and pathologic biopsy was helpful for diagnosis and treatment. Much attention should be paid to the side effects of the systemic anti-fungus medicines. Conclusions It is difficult to diagnose the endogenous fungal endophthalmitis in orthotopic liver transplantation early. Operative intervention is recommended as early as possible if patients＇ systemic condition is suitable, while prognosis of visual function isn＇t favourable.