EyeWorld China December 2017

Views from Asia-Pacific Cesar ESPIRITU, MD Chairperson, Manila Doctors Hospital and Medical City South Luzon Room 207 Doña Salustiana Medical Tower, Manila Doctors Hospital, UN Avenue, Ermita, Metro Manila, Philippines 1000 Tel. no. +63-2-525-2260 espiritueyemd@mac.com ㅰ⨍⊙ㅰᱨ㣄⵺㖶⢖㚱㱸☨⊅ㅠ㷳㴊➠㩂㖳㱫㍰➟ⶉ㔶 㚐ᮣ㣄☨☾㮥㊬㱫㸆㺸➝➈㴊➠㩂㖳㱫 9LJDPR[ ㄰㣩 㓯㨵ᱨ1RYDUWLVᱨ%DVHOᱨ6ZLW]HUODQG ☨≠㐩㩂㢶㷦 ᮰⊅ㅠ㷳㗐 㗯⪔㸃 ㄰㣩㓯㨵☲㬇㮤㴊➠㩂㍰➟㖳㱫☨≠㐩㩂 ➂⍙㲂 ㅰ -RXUQDO RI &DWDUDFW DQG 5HIUDFWLYH 6XUJHU\ ᮣ⼹㮥 ⢔⹮㙾☨㫼ⳑᱨ㸆╴㖳㱫 2IWDTXL[ 㾓㬡⟚㓯㨵ᱨ6DQWHQ 3KDUPDFHXWLFDOᱨ2VDNDᱨ-DSDQ 㸡㵀☬▣➂⍙㲂 &OLQLFDO 2SKWKDOPRORJ\ ᮰⊅ㅠ㷳㗐㗯㴊➠㩂㍰➟㖳㱫㾓㬡⟚㓯㨵 Ḷ ≠㐩㩂㋂⤜᮱ᮣㅅ㍰ᱨ㣄⏳㱫㸆⼉㺸㗊㗕⏥⧆➠⡍⭗☨⍙ギ㺨⭗ᮣ 㸆㺸㴊➠㩂㖳㱫ㄩ㖷☨⭱㺗㮻ⲿ㴣⹂㴣⌧㐩㖺ⰻ㚱Ⱗ㗖ᱨⱐ㖨ㅰᱨ 㵀ㇻ㻀ᮢ㫳㻀⧧よ⥖➂⍙⼗▙⼋☨㢶㦇⧧♛␓ⰵ⥗ᮣ㾎⒋㱫☨㑻 㺸ⶉ㔶㚐㗁㟫䪡䕋㨯ᮢ㄰㣩㓯㨵⧧㠦⤡め㚐ᮣ☏㗁ᱨ㠦⤡め㚐☨㖳 㱫㗖☡⼗▘⫏ᱨㅅ㍰ⓞ㦆⼗ 㺝㫻㺺ⓞ㫖㩂⛤㑹㩂㗍㠬ㄪ㫖⤸㬃 +259 㬇ᮣ㬇ⶖ㮧㔶ᱨ㝎⍜㗁⤠╛㍰➟㟲Ⳉ☨ᱨ⪹㙭㸆㺸㦆㦣㗁 㠦⤡め㚐㝎㱸☨ᱨ⶙㮾㖳㱫㝗☡☨⼹⼉㺸ⶉ㔶㚐✚⍈オᮣ ⊅ㅠ㷳㗐㗯㴊➠ⓞ㦆⼗㮥⢔㨰☨㎷㗀ᮣ㱱㲂㋦⫉☧⼗⢚✂☨㺉Ⓘ 㸃ᱨ㗯㺲㴊➠➝≦⪹㵀⏥ⳕ☨⯿⹂⪹⒱㢜⍖㽜ᮣ㣄㺚☨㗁᮰オ☲㬇 㮤⊅ㅠ㷳㗐㗯᮱➝≦ᱨ㵀㗐㗯ⰵ㗲㖫ᱨ㟜⥙ⲿ㩪㑋▞㍰⏍⻳㝛㍻ 㽂㔠㮥㺸⏥⧆➠⡍⭗ᮢ☉⭗⊪㽐☨⫄⧩㮤 ⊪⧆⼉㺸⒱➶ᱨ⺋㑥㄰ 㣩㓯㨵⧧㎺≠ㅔ☦ᱨ7UL0R[Lᱨ,PSULPLV 3KDUPDFHXWLFDOVᱨ6DQ 'LHJRᱨ&DOLIRUQLD ᱨ⏥㩖㮔㗯⨍㖳㱫⍙ギⶉ㔶㚐⧧㊦㺬⬺㚐ᮣ㗑 㥸ᱨ㚴㦫ⓥ⼗⍙ギ㱫㮓☨⏥㮪╹㺰⼒☨㢼㝘ᮣ㋦╴ᱨ⪔㸃㮜⪹⡮㗖☡ ⏥㩖㮔㖳㱫☲㬇㮤☨⍏ⰱᮣ☾㑻ᱨ➱㱫Ⰹ☱ᮣ☾㙼ᱨ⌏⩼⼗Ⱋㄪᱨ⭎ ⨏ ⊅ㅠ㷳⪔㸃⒋⒋⪹ⓞ㦆⹯ㄪ㢼㝘ᱨ㸆㺸➝➈⛶Ⱋㄪ☨㱘㦜 ⧶㔕ᮣ 㣐⿥㗁㍰➟⪑㗁⏍⻳㝛ㅠ㽂㔠ᱨ⊅ㅠ㷳㗐㗯㱫ⶉ㔶㚐⧧㊦㺬⬺㚐ᱨ 㣄㦐㨳⌴⍙ギ㮓㣡⢚⧝ᮣ㺝㮔㈨㮓☨㣐ⴌ⧧㸡㐵⭗⼋㢼㝘☧☡ⰶ ⴈᱨ⪹㱸㴣⹂㴣✂☨㬇ⶖ㮧㔶⏳㱫㸆㺸㴊➠ㄩ㖷☨ᮣ ⍌⭃㽂ᱶ'U (VSLULWX 㗁 1RYDUWLV ⧧ 6DQWHQ ☨⤧㢼ᮣ FAM Han Bor, MD Senior Consultant, NHG Eye Insitute 11 Jalan Tan Tock Seng, Level 1, Tan Tock Seng Hospital (TTSH) Medical Centre, Singapore 308433 Tel. no. +65-6357-7726 Fax no. +65-6357-7735 han_bor_fam@ttsh.com.sg 㽴 ╹㴊➠㩂ⶉ㔶㚐㖳㱫☨ (6&56 㫼ⳑⰵ⥗㵀 ㅰ➂⍙㮾⹂ᱨ ㍰➟ⶉ㔶㚐㖳㱫㮻ⲿ⧶⽃㨾ᮣ㵀よ⥖㱫☧⌴Ⱓ✂☨㮥㺸ⶉ㔶㚐㗁 㠦⤡め㚐ᮣ㠦⤡め㚐⳱㱸⤿㋙ⶉⴌㅢ⻲ᱨ⶙㮾⡐⡥⒋⮑☨⭇㩂㬇ㅠ㬃⏋ ⴌ⺋㑥⼀㎲ⴌ⧧ⱄ⪞㓧㋑㝇㎲ⴌᱨ㮻ⲿ㖳㱫✂ㅰᮣ⏥㩀☨㗁ᱨ╹ ㋲ⓞ㦆⼗✂⺋ⓞ㫖㩂⛤㑹㩂㗍㠬ㄪ㫖⤸㬃 +259 ☨⏋⺋⌔⢄ᮣ 㾎 ⓝ☨⽅⺋㦆㵀㮻ⲿ㵜⭩☡ 㺝㬇ᮣ +259 㗁㮥㺸⧋⮑⏋ᱨ⶙ㅢ㗁⛶⊅ㅠ㷳㗯⨍㖳㱫☨㬇ㅠ㠦⤡め㚐㯧➂ ☨ ,,, 㨻 ⒔ゼ➔㱎ᮣ㵀㙫⺉☨⊅ㅠ㷳㗐㗯ᱨ⍙㦆㢜Ⓛ➂㣐㟨㩂㗍⻲㥲 Ⰹᱨ㟜⒋㵀 ☡ 㝢㺐⭺ᮣ㍰➟⧧⏍⻳㝛㬃㺄⒋⒋㢜㎡☡㺲⛪ᮣ⨍Ⱞ ☨㻙㮔⍙㦆㢜㗍㠬ㄪ㫖⤸㬃ᱨ㻙㮔㗁Ⳅ　ᱷ㗍㠬ㄪㅠⓞ㫖ᱷ㫖⤸⛤㑹⧩ ⏌㗍㠬ㄪ㐯㫖ᱷ⭆⪞⊍㙦㺹ᮣ▙✂㗷⏋⺋ᱨ⭈⏋⶙㮾➂㷝☡㨰㔶㫖⤸㎠ ⤾㬇ᮣ㴊⨍㮥⊑⧶␘ᱨ㾎⨍ⓞ㦆➈⿓ぬᮣ▙✂㗷⪔㸃㗁㙣㬇㗖⹩ᮣ ⛶㲂㸆㺸⏥㩀☨⏋㺄ᱨ㣄㟠㯌 )'$ ☨⯼㯓 㮾⭆ 'U &KDQJ ☨⤷♇ᱨ 㺺㨰ⶌ⿑⊅ㅠ㷳㗐㗯㴊➠㩂㖳㱫㠦⤡め㚐ᮣ㚜㐹⧶⧋⮑ᱨⰵ⥗➧⒋ 㫻㺺ᮣ 㩀㴱☨㗁ᱨ⪑㱸㋦㚴⶙㮾㴊➠㩂㖳㱫☨ⶉ㔶㚐ᮣ(6&56 㫼ⳑ㮻ⲿ㺆㖯 ⼗㍰➟ⶉ㔶㚐㖳㱫☨⼒㨕ᮣ'U &KDQJ 㵀㢶㺲⶟⛊⼗㍰➟ⶉ㔶㚐☨⼒ 㨕ᱨ㱰㋦㗁㄰㣩㓯㨵ᮣ 㣄わ☨㫼ⳑᱨ 㟜⥙㖳㱫㍰➟㟫䪡䖂⼢ PJ PO ᱨ㽼㝛⨍㬇ㅠ 㬃☨➂㔶⿔╹ ⊅ㅠ㷳㗐㗯 ☡ ᮣ 㱸 ⌢☨㥲Ⰹᱨ⳱㱸㟧⭜㫓㦄㻚㩂 3 ᮣ㟫䪡䖂⼢㗁☾㮥■㟫 䪡め㚐ᮣ㦐⛶⍏㮵ᮢ≠㐩ᱨ㸏⛶⢍⹊㗉㬠㩂ⴌ㱸⧶⧝☨⼒㨕ᮣ ⏸ⶌ㢶㦇 Barry P, Seal DV, et al. ESCRS Endophthalmitis Study Group. ESCRS study of prophylaxis of postoperative endophthalmitis after cataract surgery: Preliminary report of principal results from a European multicenter study. J Cataract Refract Surg. 2006;32:407–410. 2. Witkin AJ, Shah AR, Engstrom RE, Kron-Gray MM, et al. Postoperative hemorrhagic occlusive retinal vasculitis. Expanding the clinical spectrum and possible association with vancomycin. Ophthalmol. 2015;122:1438–1451. 3. Witkin AJ, Chang DF, Jumper JM, et al. Vancomycin-associated hemorrhagic occlusive retinal vasculitis: clinical characteristics of 36 eyes. Ophthalmol. 2017; 124:583–595. 4. Nicholson LB, Kim BT, Jardon J, et al. Severe bilateral ischemic retinal vasculitis following cataract surgery. Ophthalmic Surg Lasers Imaging Retina. 2014;45:338– 342. 5. FDA. October 3, 2017 A Case of Hemorrhagic Occlusive Retinal Vasculitis (HORV) Following Intraocular Injections of a Compounded Triamcinolone, Moxifloxacin, and Vancomycin Formulation. Web. https://www.fda.gov/Drugs/ GuidanceComplianceRegulatoryInformation/PharmacyCompounding/ucm578514. htm 6. Tan CSH, Wong HK, Yang FP. Epidemiology of postoperative endophthalmitis in an Asian population: 11-year incidence and effect of intracameral antibiotic agents. J Cataract Refract Surg. 2012;38:425–430. ⍌⭃㽂ᱶ'U )DP 㗁 -RKQVRQ -RKQVRQ 9LVLRQ 6WD $QD &DOLIRUQLD ⭆ =HLVV -HQD *HUPDQ\ ⤧㢼ᮣ “ 这种预防性使用模式的价值已经越 来越被全世界所接受，近十年，在欧 洲、亚洲和美国发表了大量的文献和 调查结果。 ” - Cesar Espiritu, MD 54 2017年12月 EWAP ڹ ดᑇ0JPM ĘNJˈlj Ѯ