眼内炎病因学回顾性分析和玻璃体切割术的治疗作用  

Clinical analysis of 46 cases of vitrectomy for endophthalmitis

作　　者：贺涛[1] 艾明[1] 邢怡桥[1] 陈彬[1] 

机构地区：[1]武汉大学医学院眼科,湖北省武汉市430060

出　　处：《眼科新进展》2005年第1期60-61,共2页Recent Advances in Ophthalmology

摘　　要：目的　探讨眼内炎的病因以及玻璃体切割术治疗眼内炎的临床疗效。方法　对我院 2 0 0 1年 1月～ 2 0 0 3年 1月收治的眼内炎患者共 4 6例 4 8眼进行回顾性分析 ,男 35例 37眼 ,女 11例 11眼 ,年龄 2～ 5 9岁 ,平均 37.4岁。除 2例患者因眼内炎症过重行眼内容物摘除术外 ,其余患者均行玻璃体切割术。随访 4～ 2 8个月 ,平均 15 .1个月。结果　因眼球穿通伤所致眼内炎 30例 32眼 ,内源性眼内炎 7例 7眼 ,白内障术后 6例 6眼 ,玻璃体切割术后 1例 1眼 ,不明原因 2例 2眼。经玻璃体切割术后视力均有不同程度提高。结论　眼球穿通伤是眼内炎的最主要原因 ,及早行玻璃体切割术对取得较好疗效具有重要作用。Objective To discuss the cause of endophthalmitis and the effect of vitrectomy on endophthalmitis.Methods We retrospectively analyzed records of 46 cases(48 eyes)of endophthalmitis from January 2001 to January 2003, 35 males(37 eyes),11 females (11 eyes).The patients'ages ranged from 2 to 59 years old (mean 37.4 years).Except two patients with severe endophthalmitis received evisceration therapy,all the patients underwent pars plana vitrectomy.Postoperative follow-up ranged from 4 to 48 months (mean 15 1 months).Results Endophthalmitis was diagnosed as resulting from penetrating injury in 32 eyes, endogenous endophthalmitis in 7 eyes, cataract surgery in 6 eyes,vitrectomy in 1 eye,and unknown reason in 2 eyes.The postoperative visual acuities of these patients increased to various degrees.Conclusion Penetrating ocular injury is the most common cause of suppurative endophthalmitis,and early vitrectomy plays an important role in the therapy of endophthalmitis.

关 键 词：玻璃体切割 眼内炎 病因学 

分 类 号：R779.6[医药卫生—眼科]