玻璃体切除术治疗化脓性眼内炎临床观察  

Clinical observation of purulent endophthalmitis treated by vitrectomy

作　　者：史慧敏[1] 

机构地区：[1]华中科技大学同济医学院附属襄樊医院眼科,湖北襄樊441021

出　　处：《眼外伤职业眼病杂志》2008年第7期548-550,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨玻璃体切除术治疗化脓性眼内炎的临床价值。方法对35例(35眼)化脓性眼内炎行玻璃体切除、巩膜环扎及联合晶状体切除、人工晶状体摘出、眼内异物摘出、眼内充填术,并配合全身及局部应用抗生素、皮质类固醇治疗。术后随访12～24月。结果35例中的32例(91.43%)感染得到控制。28例(80.00%)术后视力有不同程度提高,4例术后视力无变化,3例(8.57%)眼内炎未能控制而行眼内容摘除术。结论玻璃体切除联合抗生素应用是治疗化脓性眼内炎的有效方法。Objective To evaluate the clinical value of vitrectomy for purulent endophthalmitis. Methods 35 eases of suppurative endophthalmitis were performed vitrectomy, circular buckling and lensectomy, removal of intraocular lens, removal of foreign body and intraocular tamponade. Antibiotics and steroid were admonished post-operatively. The followed-up duration was 12 -24 months. Resuits Intraocular infection of 32 cases （ 91.43% ） were controlled, visual acuity of 28 cases （80%） were improved, visual acuity of 4 cases had no change. Three cases （ 8.57% ） of endophthalmitis could not be controlled and had been enucleated. Conclusion Vitrectomy combined with antibiotics is an effective method for the management of purulent endophthalmitis.

关 键 词：玻璃体切除 化脓性眼内炎 抗生素 

分 类 号：R779.6[医药卫生—眼科]