目的:回顾分析了2007/2009年3a间眼内手术后患病毒性角膜炎患者的病例资料,对其发生发展的原因进行总结归纳并分析探讨。方法:收集眼内手术后发生病毒性角膜炎患者30例,白内障并人工晶状体植入术后18例,玻璃体切除术后9例,青光眼术后3例。对其病史,角膜炎发作时间,发病时症状,眼部查体以及诊治经过进行分析总结。结果:患者30例中18例有病毒性角膜炎或重度病毒性结膜炎感染史,6例患者有感冒或消化道疾病等诱因,30例患者均有不同程度的刺激症状,查体角膜点状侵润或树枝状混浊。应用抗病毒药物和营养角膜药物后治愈。结论:眼内术后发生病毒性角膜炎跟病毒性角结膜炎感染史,机体免疫力低下,破坏泪膜稳定性,损伤角膜内皮,术后大剂量激素用药等密切相关。及时发现和及早治疗是防治关键。

·AIM:To review and analyse the materials of 30 patients suffering from viral keratitis after intraocular surgery from 2007 to 2009 in our hospital.·METHODS:Thirty patients were included with 18 patients of cataract surgery;9 patients of vitrectomy and 3 patients of glaucoma surgery.The history of disease,time of onset symptoms ocular examnation and treatment were analyzed.·RESULTS:Eighteen patients had medical history of viral keratitis or severe viral conjunctivitis;6 patients had cold or gastral disease.All the patients had various degree irritative symptoms.All the patients had corneal invasive focus or arborization focus and recovered after antivirus therapy.·CONCLUSION:Viral keratitis after intraocular surgery is closely related with medical history of viral keratitis or severe viral conjunctivitis,low immunity,tear film stability,injure of corneal endothelium and mega-dose hormone after surgery.Early detection and treatment are the most important things.·