摘要
目的 评价玻璃体切除术治疗真菌性眼内炎的结果。方法 回顾性分析 8例真菌性眼内炎的临床特点、诊断及手术治疗的效果。结果 8例真菌性眼内炎中 ,外源性感染 3例、内源性感染 5例 ,症状及体征不甚典型 ,初诊确诊率仅2 5% (2 / 8) ,易误诊为细菌性眼内炎或葡萄膜炎。治疗效果差 ,有效率仅 2 5% (2 / 8) ,眼球摘除率达 3 7 5% (3 / 8) ,疗效与是否及时手术有关。结论 细菌性眼内炎、葡萄膜炎经正规的抗生素和皮质类固醇治疗无效者 ,应考虑真菌感染的可能 ,及早行玻璃体抽液涂片和培养以明确诊断 。
Objective To evaluate the effects of vitrectomy in fungal endophthalmitis. Methods Retrospective study of clinical features,diagnosis,treatmen t on 8 cases of fungal endophthalmitis. Results Three of 8 cases were exogenous infection.Whereas 5 case s were endogenous infection.Because the symptoms and sign were atypical,initial diagnosis was only made in 2 of 8 cases(25%),usually,bacterial endophthalmitis a nd uveitis were misdiagnoses in our series.25%(2/8) of cases was responded to th erapy,and 37 5%(3/8) of cases needed to be performed on evisceration.The curati ve effect was correlated with the early operation. Conclusion Once the standerd antibiotic and steroid treatment was carried out to both bacterial endophthalmitis and uveitis,if there was no effec tive results,we shonld considered the possibility of fungal endophthalmitis.Unde r this circumstances,following the vitreous resection and drug treatment,vitrecto my should be done as soon as possible.
出处
《眼外伤职业眼病杂志》
北大核心
2003年第9期619-621,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
