白内障术后感染性眼内炎的临床观察

目的探讨白内障术后感染性眼内炎的感染途径和治疗措施。方法回顾性分析2005至2006年间入院的8例8眼白内障术后感染性眼内炎病例。结合既往病史和临床检查探讨其感染途径。6例行玻璃体切除联合人工晶体摘除,并结合玻璃体腔内药物注射。结果导致感染的途径主要为白内障手术切口。3例细菌培养结果为表皮葡萄球菌。7例随访期末视力有提高,最高达0.3。结论白内障围手术期规范细致的操作是预防术后感染性眼内炎的重要措施。玻璃体切除联合人工晶体摘除是值得采用的有效治疗步骤。

Infective endophthalmitis after cataract surgery

Objective To discuss the infective causes and treatment methods of infective end ophthalmitis after cataract surgery. Methods The clinical records of 8 eyes in 8 patients with infective endophthalmitis were reviewed. The infective causes were confirmed by history and clinical examination. 6 patients were treated with vitrectomy combined with int raocular lens extraction. Intravitreal administration of antibiotics was also used. Results The causes of these infective endophahtlmitis are mainly cataract surgery incision infection. Cuticle staphylococcus was cultured positive in 3 eyes. The final visual acuities all increased in 7 eyes at the end of follow-up time, with the best as 0.3.Conclusions Criterion and careful work around cataract surgery time are important prevention measures.Vitrectomy combined with intraocular lens extraction is an effective way to treat endophthalmitis.