斜视术后感染的危险因素及防治  

The risk factors and prevention of postoperative strabismus infection

作　　者：张飞娥 蔡岩 Zhang Feie;Cai Yan(Graduate School,Xinjiang Medical University,Urumqi 830054,China;General Hospital of Xinjiang Military Region,Ophthalmology Center of the Chinese PLA,Urumqi 830000,China)

机构地区：[1]新疆医科大学研究生院,乌鲁木齐830054 [2]中国人民解放军新疆军区总医院全军眼科中心,乌鲁木齐830000

出　　处：《国际眼科纵览》2023年第6期564-569,共6页International Review of Ophthalmology

基　　金：全军临床重点专科自选项目。

摘　　要：斜视手术后感染是一种少见并发症,但影响术后恢复和手术效果。斜视术后感染常表现为角结膜炎、结膜下脓肿、Tenon囊脓肿、眼眶蜂窝织炎、眶周脓肿或眼内炎。感染类型、深度和部位决定了治疗方法。浅表感染外用抗生素治疗后恢复良好;脓肿需要切开引流以及全身使用抗生素;涉及深层组织的感染需要全身治疗;眼内炎可导致视力下降甚至失明,需要玻璃体注射抗生素或玻璃体切除术。Infection after strabismus surgery is a rare complication,but it affects postoperative recovery and surgical outcomes.Post-strabismus infection often manifests as keratoconjunctivitis,subconjunctival abscess,Tenon's capsule abscess,orbital cellulitis,periorbital abscess or endophthalmitis.The type,depth and location of the infection determine the treatment.Superficial infections recover well with topical antibiotic treatment;abscesses require incision and drainage as well as systemic antibiotics;infections involving deeper tissues require systemic treatment;and severe endophthalmitis can lead to vision loss or even blindness,requiring vitreous cavity injection antibiotics or vitrectomy.

关 键 词：斜视/外科学 斜视/并发症 眼感染 眼内炎 巩膜穿孔 

分 类 号：R779.6[医药卫生—眼科]