玻璃体切割联合硅油填充术治疗眼内炎

Clinical observation of vitrectomy combined with silicone oil tamponade for the treatment of endophthalmitis

摘要:

目的：观察玻璃体切割联合硅油填充术治疗化脓性眼内炎的疗效。

方法：应用经睫状体平坦部玻璃体切割术，以联合硅油填充术治疗21例21眼化脓性眼内炎患者，术后予以静脉、结膜下及点眼等途径给予抗感染、抗炎治疗。

结果：玻璃体切割术后追踪随访3～12mo，21眼细菌性感染全部控制，术后视力较术前视力有显著性提高。

结论：玻璃体切割联合硅油填充术能有效控制炎症，稳定视网膜功能，对治疗一些视网膜情况不佳或炎症难以控制的化脓性眼内炎患者疗效确切可靠，值得推广。

Abstract:

AIM: To observe the effect of vitrectomy combined with silicone oil tamponade for the treatment of endophthalmitis.

METHODS: Pars plana vitrectomy(PPV)combined with silicone oil tamponade was applied for the treatment of 21 cases with suppurative endophthalmitis. Anti-infection anti-inflammatory therapy was given subconjunctivally by vein, and eye drops postoperatively.

RESULTS: Followed up for 3-12 months after PPV, 21 cases of bacterial infection was controlled, the postoperative visual acuity had significantly increased compared with preoperation.

CONCLUSION: PPV combined with silicone oil tamponade can control inflammation, stabilize retinal function. For the treatment of some suppurative endophthalmitis patient with retinal circumstance or inflammation, the curative effect is accurate and reliable, the method is worthy of promotion.