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白内障术后眼内炎行玻璃体切除术的时机与疗效探讨
引用本文:何阳,杨阳.白内障术后眼内炎行玻璃体切除术的时机与疗效探讨[J].国际眼科杂志,2013,13(3):594-595.
作者姓名:何阳  杨阳
作者单位:中国云南省昆明市延安医院眼科,650051
摘    要:目的:探讨白内障术后眼内炎行玻璃体切除术的时机和疗效。方法:收集我院2003-07/2011-12的17例白内障超声乳化术后眼内炎患者行后段玻璃体切除的临床资料,男11例,女6例,术前视力:光感~0.1,治疗前常规抽取玻璃体送细菌、真菌培养加药物敏感试验。后段玻璃体切除手术后全身应用广谱抗生素及糖皮质激素治疗,随访3~24mo观察眼视力及眼部情况。结果:随访3~24mo,炎症无复发,末期随访眼部无炎症表现,玻璃体腔清亮。术后最佳矫正视力:0.02~0.05者6例,0.2~0.5者10例,1.0者1例。视力得到一定程度的恢复。结论:白内障超声乳化术后眼内炎行玻璃体切除能有效控制感染,确诊后立即行玻璃体手术是取得良好效果的关键。

关 键 词:眼内炎  白内障术后  玻璃体切除
收稿时间:2012/11/20 0:00:00
修稿时间:2013/2/25 0:00:00

Vitrectomy for infectious endophthalmitis after cataract surgery
Yang He and Yang Yang.Vitrectomy for infectious endophthalmitis after cataract surgery[J].International Journal of Ophthalmology,2013,13(3):594-595.
Authors:Yang He and Yang Yang
Institution:Department of Ophthalmology,Kunming Yan'an Hospital, Kunming 650051, Yunnan Province, China;Department of Ophthalmology,Kunming Yan'an Hospital, Kunming 650051, Yunnan Province, China
Abstract:AIM: To evaluate the clinical effects of vitrectomy in treating infectious endophthalmitis after cataract surgery.

METHODS: Totally 17 cases(17 eyes)suffered from infectious endophthalmitis after cataract surgery were analyzed retrospectively, endophthalmitis were treated with vitrectomy, postoperative follow-up of 3 months to 24 months.

RESULTS: After vitrectomy, intraocular infection of 17 cases was controlled, the vision improved at different degree, and all the eyeballs were saved.

CONCLUSION: Timely vitrectomy is a kind of effective and safe method for the endophthalmitis after cataract surgery.

Keywords:endophthalmitis  cataract surgery  vitrectomy
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