摘要
目的 减少眼球内异物取出术后化脓性眼内炎的发生。方法 对我院 1999年 1月～ 2 0 0 1年 12月收治的各种眼球内异物 6 2例 (6 4眼 )进行回顾性分析 ,男 5 8例 ,女 4例 ,年龄 8～ 4 6岁 ,平均 2 3岁 ;除 1例 (1眼 )采用扁平部巩膜切口 ,磁铁吸出异物外 ,其余 6 1例 (6 3眼 )均采用玻璃体切除术。结果 术后共有 3眼发生眼内炎(4 6 9% ) ;1例细菌培养为阳性 (33.33% ) ;为革兰阳性杆菌 ;经玻璃体切除术 ,气 液交换等对症治疗 ,炎症得到有效控制 ,随访 1例因眼球萎缩行眼内容物剜除术 ,另 2例最终视力分别为 0 .0 2及 0 .0 5。结论 眼内异物伤取出术后化脓性眼内炎的发生率高 ,预后差 ,应引起高度重视 ;加强围手术期的管理 ,减少术后化脓性眼内炎的发生。
OBJECTIVE To evaluate the incidence of endophthalmitis following the removal of intraocular foreign bodies(IOFB). METHODS From Jan 1999 to Dec 2001, 62 (58 men and 4 women) consecutive patients(64 eyes ), with the diagnosis of IOFB were retrospectively evaluated. The patients' ages ranged from 8 to 46 years old (mean 23 years). Sixty one patients (63 eyes) underwent pars plana vitrectomy, 1 patient underwent external magnet extraction. RESULTS Endophthalmitis was diagnosed postoperatively in 3 patients(4.69%), 1 (33 33%) of them had positive culture. one patient underwent evisceration and hydroxyapatite implantation due to atrophy of eyeball. Final visual acuity of the other 2 patients was 0.02 and 0.05, respectively. CONCLUSIONS A high index of suspicion for the possibility of infection after the removal of IOFBs should be always maintained; management around operation should be emphasized to reduce the incidence of postoperative endophthalmitis.
出处
《中华医院感染学杂志》
CAS
CSCD
2003年第2期127-129,共3页
Chinese Journal of Nosocomiology
