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玻璃体切割联合药物治疗球内异物致化脓性眼内炎疗效观察 被引量:2

Study on effects of PPV and medicine treatment for suppurative endophthalmitis caused by intraocular foreign body
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摘要 目的探讨球内异物致化脓性眼内炎的有效治疗途径。方法对10例球内异物致化脓性眼内炎患者,作经睫状体平坦部玻璃体切割(PPV)+球内异物取出术同时联合药物治疗(术中灌注液内加入抗生素),观察术后前房积脓、房水闪辉、B超、眼底、视力的变化情况。结果所有患者术后前房积脓、房水闪辉、玻璃体混浊声像(B超)均消失,视网膜平伏,视力较术前提高。结论PPV手术联合药物治疗是治疗球内异物致外伤性化脓性眼内炎的有效手段。 Objective To study the effective ways of treatment for traumatic suppurative endophthalmitis caused by intraocular foreign body. Methods Pars plana vitrectomy and intraocular foreign body taken out and medicine treatment (antibiotic was used in the infusion .solution during the suggery) were performed in ten patients (ten eyes) with traumatic suppurative endophthalmitis caused by intraocular foreign body. The hypopyon, aqueous flare, B scan, fundus and visual acuity were observed postoperativly. Results No severe complication was observed. The hypopyon, aqueous flare, vitreous opacity (B scan) all disappeared. The retinae were flat and the visual acuities were improved. Conclusions Pars plana vitrectomy combined with medicine treatment were effective ways to treat the patients of traumatic suppurative endophthalmitis caused by intraocular foreign body.
出处 《中国实用眼科杂志》 CSCD 北大核心 2005年第8期853-854,共2页 Chinese Journal of Practical Ophthalmology
关键词 PPV 药物治疗 球内异物 化脓性眼内炎 外伤性化脓性眼内炎 球内异物取出术 联合药物治疗 玻璃体切割 疗效观察 睫状体平坦部 Pars plana vitrectomy Medicine treatment Intraocular foreign body Suppurtive endophthalmitis
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参考文献4

  • 1李凤鸣.眼科全书 第一版[M].北京:人民卫生出版社,1996.2094.
  • 2李绍珍.眼科手术学第二版[M].北京:人民卫生出版社,1998.896-907.
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  • 4Kmera Muszynska M, Fakhari R, Graczynaka E, eta l. Pars plana vitectomy in treatment of endophthalmitis. Klin Oczna,1999, 101: 179 -183.

二级参考文献5

  • 1惠延年.外伤性葡萄膜炎症[A].见:李凤鸣.眼科全书[C].北京:人民卫生出版社,1996.3266.
  • 2Berming J, Meier P, Retzlaff C, et al. Primary vitrectomy in endophthalmitis. Ophthalmology, 1997,94 : 5524556.
  • 3Bartz-Schmidt KU, Berming J, Kirchhof B, et al. Prognostic factors associated with the visual outcome after vitrectomy for endophthalmitis. Graefes Arch Clin Exp Ophthalmol, 1996, 234 Suppl 1:51-58.
  • 4Kmera,Muszynska M,Fakhari R,Graczynska E,et al. Pars plana vitectomy in the treatment of endophthalmitis. Zlin Oczna, 1999,101:179-183.
  • 5罗添场,刘明玉,阮敏毅.玻璃体切除术治疗眼内异物[J].临床眼科杂志,2002,10(6):523-524. 被引量:2

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