28例内源性眼内炎相关因素与预后分析

目的研究发生内源性眼内炎的相关因素与预后. 方法对我院1998～2002年收治的28例内源性眼内炎进行回顾性分析. 结果 82.1%的患者存在易感因素,57.1%的患者起病前或起病时合并有其他内科疾病或机体抵抗力处于低下水平;其预后与能否及时就诊、早期诊断和早期治疗有关;与其他因素无关. 结论内源性眼内炎是一种严重危害视功能的眼科急症,及早就医、及时诊断、及时全身和局部强效的抗炎和抗感染治疗是控制感染的最有效方法.

Endogenous Endophthalmitis: Analysis on Correlative Factors and Prognosis of 28 Cases

OBJECTIVE To study the correlative factors and prognosis of endogenous endophthalmitis. METHODS Twenty eight endogenous endophthalmitis inpatient cases in our hospital were retrospectively analyzed. RESULTS Factors leading to high susceptibility could be found in 82.1% cases. 57.1% Patients suffered from accompanying systemic diseases or dysfunction of the immune system. Prognosis was correlated with timeliness of consult, capabilityof early diagnosis and performance of treatment. CONCLUSIONS As an ocular emergency, endogenous endophthalmitis can severely undermine the visual function of patients. In-time consultation, early diagnosis and proper system and topical anti-infective and anti-inflammatory treatment are the most effective methods for infectioncontrol.