摘要
目的观察玻璃体切除联合硅油填充术治疗无视网膜脱离的严重急性化脓性眼内炎的疗效.方法回顾性分析15例行玻璃体切除联合硅油填充术的不伴有视网膜脱离的严重急性化脓性眼内炎的病例资料,观察术后的视功能、感染控制及再次手术情况.结果随访3～18月,15眼感染全部控制,1眼在硅油取出后发生视网膜脱离,其余14眼视网膜保持在位无需再次手术.与术前相比,13眼视力提高,1眼视力不变,1眼眼球萎缩.结论玻璃体切除联合硅油填充术能有效稳定视网膜功能,控制炎症,减少再次手术创伤.
Objective To investigate the clinical effect of pars plana vitrectomy(PPV)combined silicone oil tamponade for acute endophthalmitis on eyes without detachment of retina. Methods This study analyses a retrospective case series of 15 eyes(15 patients),who underwent PPV combined silicone oil tamponade for acute endophthalmitis without retinal detachment.The postoperative visual acuity、infective change and reoperations were observed. Results During a follow-up of 3 to 18 months,intraocular infection of 15 eyes(15 patients)were controlled.Except a patient occurring retinal detachmental after removel of silicone oil,no eye needed further surgery in all these cases.Postoperative visual acuity improved in 13 eyes and remained unchanged in 1 eyes.Eyeball atrophy occurred in 1 eye. Conclusions Pars plana vitrectomy combined with silicone oil tamponade might be beneficial in the treatment strategy of severe acute endophthalmitis.
出处
《中国实用眼科杂志》
CSCD
北大核心
2005年第7期676-678,共3页
Chinese Journal of Practical Ophthalmology
