滤过泡漏感染性眼内炎临床分析  

Clinical analysis of infectious endophthalmitis following filtering bleb leaking after glaucoma-filtering surgery

作　　者：贺永宁[1] 庞秀琴[1] 郑鹏飞[1] 刘毅[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,北京100730

出　　处：《眼外伤职业眼病杂志》2007年第7期503-505,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨抗青光眼术后滤过泡漏致感染性眼内炎的原因、临床特点、手术方式及术后处理,以期提高其救治成功率。方法9例(9眼)中,8例行玻璃体切除联合异体巩膜修补、自体结膜瓣遮盖,其中3例在内窥镜引导下行玻璃体切除联合睫状突光凝术;1例保守治疗。对本组病例从病因学、手术方式、术后眼压控制等方面进行全面分析。结果9例眼内炎症均得到有效控制,其中7例术后眼压控制理想,2例2次行睫状体光凝术。6例保存了有用视力。结论玻璃体切除联合异体板层巩膜移植修补、自体结膜瓣遮盖、眼内注药及睫状体光凝是治疗滤过泡漏感染性眼内炎的有效方法。Objective To discuss the causes,characteristics, operation methods and postprocessing of infectious endophthalmitis following filtering bleb leaking, and to improve the cognition and treatment achievement ratio about this disease. Methods 8 out of total 9 cases （9 eyes） were treated by vitrectomy, combined with filtering bleb repairing with donated sclera and self conjunctiva. Among the 8 cases, 3 were performed vitrectomy induced by intraocular endoscope, meanwhile, ciliary process photo -coagulation was made; 1 case of the total was treated with conservative methods. A multi-analysis was made from etiology, operation methods, intraocular pressure （IOP） control and so on. Results Intraocular inflammation of all the 9 cases were effectively controlled, IOP of 7 cases were effectively controlled after the first surgery, only 2 cases not controlled, and ciliary body photo-coagulation had to be made; Useful visual acuity was kept among 6 cases, and remnant visual acuity was kept among another 3 cases. Conclusions Vitrectomy combined with filtering bleb repairing with donated sclera, covering with self conjunctiva, intraocular injection with antibiotics and corticosteroid and ciliary body photo-coagulation are effective methods for infectious endophthalmitis following filtering bleb leaking after glaucomafiltering surgery.

关 键 词：滤过泡漏 感染性眼内炎 丝裂霉素C 滤过泡修补 

分 类 号：R771.2[医药卫生—眼科] R775[医药卫生—临床医学]