白内障超声乳化吸出后感染性眼内炎  

Treatment for 6 cases of endophthalmitis secondary to phacoemulsification

作　　者：杨新光[1] 刘钊[2] 于敬妮[1] 马春霞[1] 席芳娴[3] 

机构地区：[1]西安市第四医院陕西省眼科医疗中心,陕西西安710004 [2]西安交通大学医学院,陕西西安710061 [3]西安市第四医院病案室,陕西西安710004

出　　处：《眼外伤职业眼病杂志》2009年第11期821-823,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨白内障超声乳化吸出术后发生感染性眼内炎相关因素及治疗方法。方法对2007年6月至2008年5月6例(6眼)白内障术后感染性眼内炎进行回顾性分析。结果1例未行手术治疗,其余5例均行玻璃体切除手术。所有标本未发现真菌菌丝。细菌培养:2例葡萄球菌,2例粪肠球菌,1例肺炎球菌,1例未检出。随访视力:4例比术前提高,1例无变化,1例下降。结论早期发现、早期诊断、早期恰当的临床干预对白内障行晶状体超声乳化吸出术后继发眼内炎极为关键。Objective To discuss related faetorsand treatment of endophthalmitis secondary tophacoemulsification. Methods 6 cases suffered from infective endophthalmitis after cataract surgery from June 2007 to May 2008 were analyzed retrospectively. Results 5 cases were performed vitrectomy with exception of 1 case. All specimens found no fungal mycelium. Culture： 2 cases of Staphylococci, 2 cases of Enterocoecus faeealis, 1 case of pneumo- nococcus, 1 case of none. Follow-up vision： 4 cases of increase, 1 case of no change, 1 case of decline. Conclusion Early detec- tion, early diagnosis and appropriate clinical intervention in time appear to be particularly critical to endophthalmitis secondary to phaeoemulsificatiou.

关 键 词：白内障摘出术 合并症 

分 类 号：R779.66[医药卫生—眼科]