眼内异物合并眼内炎的手术治疗  

Surgical treatment of intraocular foreign body associated with endophthalmitis

作　　者：高永峰[1] 郭希让[1] 田清芬[1] 黄爱国[1] 李玉军[1] 

机构地区：[1]河南省眼科研究所,450003

出　　处：《眼外伤职业眼病杂志》2003年第3期165-166,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨玻璃体手术治疗眼内异物合并眼内炎的效果。方法　眼内异物合并眼内炎 18例 (18眼 )。行玻璃体切除术和眼内异物摘出术 ,联合角巩膜缝合、晶状体切除、视网膜切开、眼内激光、巩膜外冷凝、C2 F6或硅油填充术。术后给予足量的抗生素。随访 3～ 6月。结果　术中眼内异物均摘出成功。 16例感染控制 ,1例真菌性眼内炎和 1例铜绿假单胞菌眼内炎因感染术后未能控制而摘除眼球。术后视力光感～ 0 5。手术并发症主要有医源性视网膜裂孔、出血、视网膜脱离、增生性玻璃体视网膜病变和黄斑前膜形成。结论　采用玻璃体手术摘出眼内异物结合术后足量抗生素的应用 ,可有效地控制眼内炎 。Objective To investigate the efficacy of vitrectomy for intraocular foreign body associated with endophthalmitis.Methods 18 cases(18 eyes) with intraocular foreign bodies associated with endophthalmitis were operated.After vitrectomy,the extraction of intraocular foreign body were performed,other procedures included fluid air exchange,endolaser,injection of C 2F 6 or silicone oil.Sufficient antibiotics were used postoperatively.16 cases had been followed up for 3～6 months.Results Intraocular foreign bodies were successfully removed.Endophthalmitis of 16 cases was well controlled,except for a case of fungal endophthalmitis and a case of pseudomonas aeruginosa endophthalmitis in which eyeballs were enucleated postoperatively.Visual acuity of the 16 cases improved postoperatively.Conclusion Vitrectomy with the application of sufficient antibiotics postioperatively is an effective method for intraocular foreign body associated with endophthalmitis.

关 键 词：眼内异物 眼内炎 玻璃体切除术 治疗 

分 类 号：R779.1[医药卫生—眼科]