摘要
目的探讨白内障术后眼内炎的发病原因及手术效果.方法回顾性分析2000年1月～2004年8月收治的白内障摘出联合人工晶状体植入术后眼内炎5例(5眼),其中3例为糖尿病.5例均行细菌培养及药敏实验,根据病情4例行玻璃体切除联合玻璃体腔抗生素注射,1例单纯玻璃体腔注药.结果本组5例中4例眼内炎细菌培养呈阳性:2例为表皮葡萄球菌,1例粪肠球菌,1例醋酸钙不动杆菌.5例眼内炎均得到控制,除1例外,4例恢复良好视功能.结论糖尿病患者白内障术后感染性眼内炎的发生机率较大,积极采取玻璃体切除联合玻璃体腔注药对恢复有用视力是必要的.白内障术后急性眼内炎预后较差.
Objective To investigate the pathogenic causes and therapeutic effects of endophthalmitis after cataract surgery. Methods 5 cases with endophththalmitis after cataract surgery since 2000 were analysed retrospectively. Of the 5 patients ,3 had diabetes. All cases had microbiological examinations. Vitrectomy and intravitreal injection of antibiotics for 4 cases and simple intravitreal injection for 1 case were applied according to the severity of the disease. Results The organisms were isolated from 4 cases. Endophthalmitis was controlled and 4 patients had good visual acuities. Conclusion Diabetic patients have a bigger probability to suffer from endophthalmitis. Vitrectomy and intravitreal injection of antibiotics are effective in treating such disease. Acute cases have bad prognosis.
出处
《眼外伤职业眼病杂志》
北大核心
2005年第10期732-734,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
