摘要
目的探讨感染性眼内炎病因、病原、治疗方法及治疗结果。方法：感染性眼内炎12例（12眼）。对其性别、年龄、致伤物、病原学、诊疗方案、治疗结果等进行回顾性分析。结果：12例中1例行眼球摘除术，1例拒绝手术、行保守治疗后眼球萎缩，10例行玻璃体切除手术。行玻璃体切除术者中，1例眼内巨大异物包裹未摘、随诊期间眼球萎缩；1例为真菌性眼内炎随诊期间眼球萎缩；其余8例均保留眼球挽救了部分视力（光感至0．3）。眼内液培养结果1例培养出施氏葡萄球菌施氏亚种，2例培养出曲霉菌，7例培养未检出细菌及真菌，1例眼球摘除未行培养，1例保守治疗未行培养。结论对于确诊或高度怀疑眼内炎，经玻璃体腔注射药物及全身抗生素应用无缓解者，需尽早行玻璃体切除手术清除玻璃体炎性病灶，玻璃体切除术可最大限度挽救患者眼球及保留部分视力。
Objective To study the etiology, pathogen, treatment and prognosis of infectious endophthalmitis. Methods 12 cases （12 eyes） with infectious endophthalmitis were retrospectively studied. Data collected including gender, age, physical injury, etiology, treatment and results were analyzed. Resuits In 12 patients, 1 case underwent enucleation, 1 case progressed to eyeball atrophy after conservative treatment, 10 cases underwent vitrectomy surgery. Among patients underwent vitrectomy surgery, 1 case of huge introcular foreign body was not removed and gradually progressed to eyeball atrophy during follow-up, 1 case of fungal endophthalmitis relapsed during follow-up and gradually progressed to eyeball atrophy. The re- maining 8 cases were retained the eye, and the corrected visual acuity ranged from light perception to 0.3. One case was detected subspecies of staphylococcus schleiferi from purulent vitreous culture, 2 cases were detected aspergillus, 7 ocular fluid samples showed negative growth on culture, 2 cases did not send vitreous culture pus. Conclusion For patients confirmed or with highly suspected endophthalmaitis without relief under introvitreal injection of drugs and systematic antibiotics application, timely vitrectomy may be suitable to retain the eyeball and save part of vision.
出处
《中华眼外伤职业眼病杂志》
2012年第9期700-702,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
眼内炎
感染性
异物
眼内
玻璃体切除术
预后
Endophthalmitis, infectious
Foreign body, intraocular
Vitrectomy
Prognosis.
