摘要
目的:探讨白内障术后眼内炎行玻璃体切除术的时机和疗效。方法:收集我院2003-07/2011-12的17例白内障超声乳化术后眼内炎患者行后段玻璃体切除的临床资料,男11例,女6例,术前视力:光感～0.1,治疗前常规抽取玻璃体送细菌、真菌培养加药物敏感试验。后段玻璃体切除手术后全身应用广谱抗生素及糖皮质激素治疗,随访3～24mo观察眼视力及眼部情况。结果:随访3～24mo,炎症无复发,末期随访眼部无炎症表现,玻璃体腔清亮。术后最佳矫正视力:0.02～0.05者6例,0.2～0.5者10例,1.0者1例。视力得到一定程度的恢复。结论:白内障超声乳化术后眼内炎行玻璃体切除能有效控制感染,确诊后立即行玻璃体手术是取得良好效果的关键。
· AIM： To evaluate the clinical effects of vitrectomy in treating infectious endophthalmitis after cataract surgery. · METHODS： Totally 17 cases （17 eyes） suffered from infectious endophthalmitis after cataract surgery were analyzed retrospectively, endophthalmitis were treated with vitrectomy, postoperative follow-up of 3 months to 24 months. · RESULTS： After vitrectomy, intraocular infection of 17 cases was controlled, the vision improved at different degree, and all the eyeballs were saved. · CONCLUSION： Timely vitrectomy is a kind of effective and safe method for the endophthalmitis after cataract surgery
出处
《国际眼科杂志》
CAS
2013年第3期594-595,共2页
International Eye Science
