18例内源性眼内炎临床特征及预后分析

目的 探讨内源性眼内炎的临床特征和治疗结果。方法 对18例(20眼)内源性眼内炎进行回顾性分析。结果 83．3％的患者存在易感因素。90％患者延误诊断4天以上。2／3病例有明确致病菌，真菌感染4例(6眼)，细菌感染8例，另有6例致病菌不明。所有患者均接受静脉抗菌素治疗，10例接受玻璃体手术，9只眼获得数指以上视力。结论 内源性眼内炎是一种严重致盲性眼病，玻璃体手术是治疗内源性眼内炎的有效方法。

Clinical features and prognosis of endogenous endophthalmitis

Objective To evaluate the clinical features and treatment outcomes of endogenous endophthalmitis.Methods 20 eyes of 18 patients with endogenous endophthalmitis were retrospectiveyl analyzed.Results 83.3% of the patients had predisposing factors for the development of endogenous endophthalmitis,such as high fever,urinary tract infections,tumors,liver infections.Correct diagnosis was not made within 4 days in 90% of the patients.Organisms were identified in two thirds of the patients,in which 6 eyes of 4 cases were fungi,8 were bacteria and organisms were not isolated in 6 patients.All patients received intravenous antibiotics,while vitreous surgery was performed in 10 patients.Final visual acuities were counting fingers or better in 9 patients.Conclusions Endogenous endophthalmitis is a serious ocular disease.Pars plana vitrectomy is an effective method in the treatment of endogenous endophthalmitis.