外伤性眼内炎不同时期玻璃体切除术效果分析

目的　探讨不同时期对外伤性眼内炎行玻璃体切除术的治疗效果。方法　观察 40例40眼外伤性眼内炎于发病后 1天～ 1 5月行玻璃体切除术 ,早期手术 (≤ 1周 ) 10例 ,15天以后手术2 1例。其中进行了第二次玻璃体切除术的 10例中 ,7例是因为术后出现了视网膜脱离 ,3例因为炎症未控制。结果　术前视力 <0 0 5的 3 5眼占 87 5 %。术后观察 1月～ 3 3月 ,获得有效视力 (矫正视力≥ 0 0 5 )的 2 7眼占 67 5 %。在术后视力≥ 0 3的 15眼占 3 7 5 % ,其中有 7眼为早期手术者。术后炎症控制但眼压长期低于正常者 6眼。结论　对于控制外伤性眼内炎及其可能造成的玻璃体视网膜增殖性病变 ,早期玻璃体切除术联合敏感抗生素的应用仍是最佳的治疗方案

Analysis of the efficacy of vitrectomy for traumatic endophthalmitis in different phases

Objective To evaluate the efficacy of vitrectomy for traumatic endophthalmitis in different phases.Methods Using vitrectomy on 40 eyes of 40 cases 1 day to 45 days after suffered from traumatic endophthalmitis,of which 10 were performed in 7 days and 21 were over 15 days.There were 10 cases of second vitrectomy.Results Following 1 to 33 months,the visual acuity of 27 cases(67 5%)achieved to 0 05 or batter after surgery and 7 cases of them were 0 3 or batter,which had got vitrectomy in one week.And 6 cases were keeping ocular hypotension for a long time while endophthalmitis was cured.Conclusions Vitrectomy associated with sensitive antibiotics is the best method to control traumatic endophthalmitis and prevent following proliferative vitreoretinopathy.