眼内炎16例临床分析

目的:探讨眼内炎的病因以及玻璃体切割术治疗眼内炎的临床疗效。方法:对我院2010-01/2012-12收治的眼内炎患者共16例16眼进行回顾性分析,其中男13例,女3例,年龄42～82(平均60)岁。其中5例患者行眼球内容物剜除术,11例患者行玻璃体切割术。结果:因眼外伤所致眼内炎8例,内源性眼内炎2例,白内障术后2例,抗青光眼术后2例,感染性角膜炎1例,白内障过熟期晶状体过敏性眼内炎1例。经玻璃体切割术后8例视力有不同程度提高,脱盲(视力>0.05)6例(55%)。结论:眼外伤是眼内炎的最常见原因,玻璃体切割手术治疗能不同程度恢复患者视功能。

Clinical analysis of 16 cases with endophthalmitis

AIM: To study the cause of endophthalmitis and the effect of vitrectomy on endophthalmitis.

METHODS: We retrospectively analyzed records of 16 cases(16 eyes)of endophthalmitis from January 2010 to December 2012, 13 males, 3 females. The patients' ages ranged from 42 to 82 years old(mean 60 years). Five patients received evisceration therapy, all the other patients underwent pars plana vitrectomy.

RESULTS: Endophthalmitis was diagnosed as resulting from eye injuries in 8 eyes, endogenous endophthalmitis in 2 eyes, cataract surgery in 2 eyes, glaucoma surgery in 2 eyes, keratitis in 1 eye, hypermature stage cataract phacoanathylactic endophthalmitis in 1 eye. The postoperative visual acuities of 8 patients increased in various degrees. Six patients(55%)were out of blindness(visual acuity >0.05).

CONCLUSION: Eye injury is the most common cause of endophthalmitis, and vitrectomy can recover the visual function of the patients to different levels.