超声乳化白内障吸出术后感染性眼内炎的治疗

目的:讨论超声乳化白内障吸出术后感染性眼内炎的原因和处理。方法:对3850例超声乳化白内障吸出术中5例感染性眼内炎患者进行前房冲洗及注药术,术后全身和局部应用抗菌素、激素及散瞳药。结果:5例感染性眼内炎均得到控制,1例需进行玻璃体切割术,4例进行前房冲洗术。除1例患者外,4例均获得满意的视功能恢复。结论:超声乳化白内障吸出术后眼内炎的发生,术中前房污染是最常见的致病菌来源,及时、彻底的前房冲洗注药术是有效的处理方法之一。眼科学报1999;15:124—126。

Management of Infectious Endophthalmitis Following Phacoemulsification

Purpose:To discuss the cause and management of infective endophthalmitis following phacoemulsif ication. Methods :Anterior chamber irrigation with anterior chamber drug injection, postoperative systemic and topical antibiotic therapy as well as the use of topical mydriatic a-gent were applied to 5 of 3 850 eyes which showed endophthalmitis following phacoemulsif ication . Result:All the 5 eyes were saved from infective endophthalmitis. 1 of 5 eyes underwent vitrectomy,4 of 5 eyes underwent anterior chamber irrigation (wash out) .4 of 5 eyes had satisfactory visual outcome. One of them had poor visual outcome. Conclusion: Preoperative contamination of the anterior chamber is the most common source for pathogenic agents responsible for endophthalmitis following phacoemulsifi-cation. Prompt anterior chamber irrigation (washout) with anterior chamber drug injection is one of the effective treatment. Eye Science 1999; 15; 124 - 126.