| 白内障摘出人工晶状体植入后眼内炎临床分析 |
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| 引用本文： | 李筱荣,李艳,张红,袁佳琴.白内障摘出人工晶状体植入后眼内炎临床分析[J].眼外伤职业眼病杂志,2005,27(10):732-734. |
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| 作者姓名： | 李筱荣 李艳 张红 袁佳琴 |
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| 作者单位： | 天津医科大学眼科中心,天津,300070 |
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| 摘 要： | 目的探讨白内障术后眼内炎的发病原因及手术效果。方法回顾性分析2000年1月~2004年8月收治的白内障摘出联合人工晶状体植入术后眼内炎5例(5眼),其中3例为糖尿病。5例均行细菌培养及药敏实验,根据病情4例行玻璃体切除联合玻璃体腔抗生素注射,1例单纯玻璃体腔注药。结果本组5例中4例眼内炎细菌培养呈阳性:2例为表皮葡萄球菌,1例粪肠球菌,1例醋酸钙不动杆菌。5例眼内炎均得到控制,除1例外,4例恢复良好视功能。结论糖尿病患者白内障术后感染性眼内炎的发生机率较大,积极采取玻璃体切除联合玻璃体腔注药对恢复有用视力是必要的。白内障术后急性眼内炎预后较差。
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| 关 键 词： | 白内障 眼内炎 玻璃体切除术 |
| 文章编号： | 1004-6461（2005）10-0732-03 |
| 收稿时间： | 2004-10-03 |
| 修稿时间： | 2004-10-032004-12-18 |
Clinical analysis of endophthalmitis after cataract extraction and IOL implantation |
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| LI Xiao-rong,LI Yan,ZHANG Hong,YUAN Jia-qin.Clinical analysis of endophthalmitis after cataract extraction and IOL implantation[J].Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries,2005,27(10):732-734. |
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| Authors: | LI Xiao-rong LI Yan ZHANG Hong YUAN Jia-qin |
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| Institution: | Tianjin Medical University Eye Center, Tianjin 300070, China |
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| Abstract: | Objective To investigate the pathogenic causes and therapeutic effects of endophthalmitis after cataract surgery.Methods 5 cases with endophththalmitis after cataract surgery since 2000 were analysed retrospectively.Of the 5 patients,3 had diabetes.All cases had microbiological examinations.Vitrectomy and intravitreal injection of antibiotics for 4 cases and simple intravitreal injection for 1 case were applied according to the severity of the disease.Results The organisms were isolated from 4 cases.Endophthalmitis was controlled and 4 patients had good visual acuities.Conclusion Diabetic patients have a bigger probability to suffer from endophthalmitis.Vitrectomy and intravitreal injection of antibiotics are effective in treating such disease.Acute(cases have) bad prognosis. |
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| Keywords: | cataract endophthalmitis vitrectomy |
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