眼内窥镜引导玻璃体手术治疗伴有严重角膜混浊的眼内炎  

Vitrectomy led by ocular endoscope on the treatment of endophthalmitis with severe corneal opacity

作　　者：郑鹏飞[1] 庞秀琴[1] 何雷[1] 杨勋[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,100730

出　　处：《眼科》2005年第3期183-185,共3页Ophthalmology in China

摘　　要：目的探讨眼内窥镜引导玻璃体手术治疗伴有严重角膜混浊的眼内炎的效果。设计回顾性病例系列研究。研究对象10例伴有严重角膜混浊的化脓性眼内炎患者。方法通过眼内窥镜引导行玻璃体切除、玻璃体腔注药术。其中5例同时行球内异物取出术,2例行视网膜裂孔激光封闭,1例行睫状突光凝术,3例眼内充填硅油。主要指标眼内炎症转归及视力。结果术后随诊2～6个月,全部患者眼内炎症均得到控制。6例视力提高,3例矫正视力≥0.1。结论眼内窥镜扩展了玻璃体切除术的适应范围,对于伴有严重角膜混浊的眼内炎患者亦可及时手术治疗。Objective To explore the efficacy of vitrectomy led by ocular endoscope on the treatment of endophthalmitis with severe corneal opacity.Design Retrospective,observational case series.Participants 10 patients (10 eyes) of endophthalmitis with severe corneal opacity were enrolled in this study.Methods With the help of ocular endoscope,vitrectomy and intravitreous drug injection were performed on 10 patients.Intraocular foreign body was extracted in 5 patients,retinal hole laser-block was performed in 2 patients,photocoagulation of ciliary processes in 1 patient and silicone oil tampnation in 3 patients.Main Outcome Measures Physical signs of inflammation and visual acuity.Results With 2-6 months follow-up,endophthalmitis in all patients were controlled.Visual acuities of 6 eyes were improved,corrected vision of 3 eyes were better than 0.1.Conclusions Vitrectomy led by ocular endoscope enlarge the indication that endophthalmits with severe corneal opacity can be treated in time.

关 键 词：眼感染/外科学 眼内窥镜 玻璃体切除术 角膜混浊 

分 类 号：R779.6[医药卫生—眼科]