摘要
目的分析应用玻璃体腔填充物硅油或全氟丙烷（C3F8），对玻璃体切除术治疗外源性眼内炎效果的影响。方法回顾性分析2000年5月至2008年3月玻璃体切除术治疗的外源性眼内炎66例66只眼，术中应用硅油（52只眼）或全氟丙烷（C3F8）（14只眼）作为玻璃体腔填充物。结果硅油填充组52只眼中，48只眼视力提高（92．3％），34只眼（65．4％）术后视力≥0．05。C3F8填充组14只眼中，10只眼视力提高（71．4％），5只眼（35．7％）术后视力≥0．05。硅油填充组术后视力优于C3F8组（x2=4．017，P〈O．05）。结论玻璃体切除联合硅油填充术是治疗外源性眼内炎的有效方法，硅油优于C3F8。
Objective To analyze the influence of different endotamponade on the result of pars plana vitrectomy （PPV） for exogenous endophthalmitis. Methods From May 2000 to March 2008, 66 consecutive patients （66 eyes） diagnosed as exogenous endophthalmitis and treated by PPV were retrospectively evaluated. Oil silicone and perfluoroproane gas （C3F8） were used as endotamponade. Results Postoperative visual acuities （VA） of 58 eyes （87.9%） increased and the VA of 39 eyes （59.1%） was equal or better than 0.05. In the PPV combined with silicone oil group （52 eyes）, postoperative VA of 48 eyes increased and the VA of 34 eyes （65.4%） was equal or better than 0.05. In the PPV combined with C3Fs group （ 14 eyes）, postoperative VA of 10 eyes （71.4%） increased and the VA of 5 eyes （35.7%） was equal or better than 0.05. The postopera- tive VA of patients underwent PPV combined with silicone oil was better than combined with C3Fs. （x2 =4.017, P〈 0.05 ）. Conclusions PPV combined with silicone oil is a good method for the treatment of exogenous endophthalmitis and can control inflammation effectively, reduce the occurrence of retinal detachment.
出处
《中国实用眼科杂志》
CSCD
北大核心
2009年第12期1390-1392,共3页
Chinese Journal of Practical Ophthalmology
关键词
眼内炎
玻璃体切除
硅油
Endophthalmitis
Vitrectomy
Oil silicone
