玻璃体切割联合药物治疗球内异物致化脓性眼内炎疗效观察  

Study on effects of PPV and medicine treatment for suppurative endophthalmitis caused by intraocular foreign body

作　　者：闻慧[1] 赵铁英[1] 曾键[1] 陈青山[1] 张国明[1] 陈玲[1] 

机构地区：[1]暨南大学医学院深圳眼科中心深圳市眼科医院,深圳518001

出　　处：《中国实用眼科杂志》2005年第8期853-854,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨球内异物致化脓性眼内炎的有效治疗途径。方法对10例球内异物致化脓性眼内炎患者,作经睫状体平坦部玻璃体切割(PPV)+球内异物取出术同时联合药物治疗(术中灌注液内加入抗生素),观察术后前房积脓、房水闪辉、B超、眼底、视力的变化情况。结果所有患者术后前房积脓、房水闪辉、玻璃体混浊声像(B超)均消失,视网膜平伏,视力较术前提高。结论PPV手术联合药物治疗是治疗球内异物致外伤性化脓性眼内炎的有效手段。Objective To study the effective ways of treatment for traumatic suppurative endophthalmitis caused by intraocular foreign body. Methods Pars plana vitrectomy and intraocular foreign body taken out and medicine treatment （antibiotic was used in the infusion .solution during the suggery） were performed in ten patients （ten eyes） with traumatic suppurative endophthalmitis caused by intraocular foreign body. The hypopyon, aqueous flare, B scan, fundus and visual acuity were observed postoperativly. Results No severe complication was observed. The hypopyon, aqueous flare, vitreous opacity （B scan） all disappeared. The retinae were flat and the visual acuities were improved. Conclusions Pars plana vitrectomy combined with medicine treatment were effective ways to treat the patients of traumatic suppurative endophthalmitis caused by intraocular foreign body.

关 键 词：PPV 药物治疗 球内异物 化脓性眼内炎 外伤性化脓性眼内炎 球内异物取出术 联合药物治疗 玻璃体切割 疗效观察 睫状体平坦部 

分 类 号：R779.1[医药卫生—眼科] R779.14[医药卫生—临床医学]