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小切口非超声乳化白内障摘除联合人工晶体植入术后感染性眼内炎的临床分析
引用本文:朱淮成,修海迪.小切口非超声乳化白内障摘除联合人工晶体植入术后感染性眼内炎的临床分析[J].中国病原生物学杂志,2011(9).
作者姓名:朱淮成  修海迪
作者单位:济宁市第一人民医院眼科;山东省医学科学院山东省职业卫生与职业病防治研究院;
摘    要:目的探讨基层医院小切口非超声乳化白内障摘除联合人工晶体植入术后感染性眼内炎的危险因素、治疗和预后。方法回顾性分析2005年5月~2010年7月本院收治的8例(8只眼)感染性眼内炎患者的临床资料,分析感染性眼内炎的危险因素、病程、治疗及预后。结果 8例感染性眼内炎患者主要临床表现为眼红痛和视力障碍。8例患者中3只眼接受抗生素等药物综合治疗,4只眼行玻璃体切除、晶状体后囊膜切除及人工晶体取出术联合综合药物治疗,1例行眼球摘除术。6例患者保存了视力,1例眼球萎缩。细菌培养1例为表皮葡萄球菌感染,1例为肺炎链球菌感染。结论糖尿病患者白内障术后感染性眼内炎的发生几率较大,眼外伤、恶性肿瘤也可能是白内障术后眼内炎发生的危险因素,玻璃体手术和规范用药是有效的治疗手段。

关 键 词:白内障摘除术  人工晶体植入术  眼内炎  玻璃体切割手术  

Clinical analysis of endophthalmitis after small incision non-phacoemulsification cataract surgery and IOL implantation at a primary level hospital
ZHU Huai-cheng ,XIU Hai-di.Clinical analysis of endophthalmitis after small incision non-phacoemulsification cataract surgery and IOL implantation at a primary level hospital[J].Journal of Pathogen Biology,2011(9).
Authors:ZHU Huai-cheng  XIU Hai-di
Institution:ZHU Huai-cheng 1,XIU Hai-di2(1.Department of Ophthalmology,Jining First People's Hospital,Jining 272100,Shandong,China,2.Shandong Academy of Occupational Health and Occupational Medicine,Jjinan 250062,China)
Abstract:Objective To investigate the risk factors for a predisposition to endophthalmitis,clinical features,methods of treatment,and therapeutic outcomes after small incision non-phacoemulsification cataract surgery and IOL implantation at a primary level hospital.Methods Data on 8 patients(8 eyes) with endophthalmitis after cataract extraction and IOL implantation at county and town hospitals between May 2005 and July 2010 were retrospectively reviewed and analyzed with respect to risk factors,clinical manifestati...
Keywords:Cataract extraction  IOL  endophthalmitis  vitrectomy  
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