白内障摘出人工晶状体植入后眼内炎临床分析  

Clinical analysis of endophthalmitis after cataract extraction and IOL implantation.

作　　者：李筱荣[1] 李艳[1] 张红[1] 袁佳琴[1] 

机构地区：[1]天津医科大学眼科中心,天津300070

出　　处：《眼外伤职业眼病杂志》2005年第10期732-734,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨白内障术后眼内炎的发病原因及手术效果.方法回顾性分析2000年1月～2004年8月收治的白内障摘出联合人工晶状体植入术后眼内炎5例(5眼),其中3例为糖尿病.5例均行细菌培养及药敏实验,根据病情4例行玻璃体切除联合玻璃体腔抗生素注射,1例单纯玻璃体腔注药.结果本组5例中4例眼内炎细菌培养呈阳性:2例为表皮葡萄球菌,1例粪肠球菌,1例醋酸钙不动杆菌.5例眼内炎均得到控制,除1例外,4例恢复良好视功能.结论糖尿病患者白内障术后感染性眼内炎的发生机率较大,积极采取玻璃体切除联合玻璃体腔注药对恢复有用视力是必要的.白内障术后急性眼内炎预后较差.Objective To investigate the pathogenic causes and therapeutic effects of endophthalmitis after cataract surgery. Methods 5 cases with endophththalmitis after cataract surgery since 2000 were analysed retrospectively. Of the 5 patients ,3 had diabetes. All cases had microbiological examinations. Vitrectomy and intravitreal injection of antibiotics for 4 cases and simple intravitreal injection for 1 case were applied according to the severity of the disease. Results The organisms were isolated from 4 cases. Endophthalmitis was controlled and 4 patients had good visual acuities. Conclusion Diabetic patients have a bigger probability to suffer from endophthalmitis. Vitrectomy and intravitreal injection of antibiotics are effective in treating such disease. Acute cases have bad prognosis.

关 键 词：白内障 眼内炎 玻璃体切除术 

分 类 号：R779.66[医药卫生—眼科] R771.2[医药卫生—临床医学]