眼内炎16例临床分析

Clinical analysis of 16 cases with endophthalmitis

摘要:

目的：探讨眼内炎的病因以及玻璃体切割术治疗眼内炎的临床疗效。

方法：对我院2010-01/2012-12收治的眼内炎患者共16例16眼进行回顾性分析，其中男13例，女3例，年龄42～82(平均60)岁。其中5例患者行眼球内容物剜除术，11例患者行玻璃体切割术。

结果：因眼外伤所致眼内炎8例，内源性眼内炎2例，白内障术后2例，抗青光眼术后2例，感染性角膜炎1例，白内障过熟期晶状体过敏性眼内炎1例。经玻璃体切割术后8例视力有不同程度提高，脱盲(视力>0.05)6例(55%)。

结论：眼外伤是眼内炎的最常见原因，玻璃体切割手术治疗能不同程度恢复患者视功能。

Abstract:

AIM: To study the cause of endophthalmitis and the effect of vitrectomy on endophthalmitis.

METHODS: We retrospectively analyzed records of 16 cases(16 eyes)of endophthalmitis from January 2010 to December 2012, 13 males, 3 females. The patients' ages ranged from 42 to 82 years old(mean 60 years). Five patients received evisceration therapy, all the other patients underwent pars plana vitrectomy.

RESULTS: Endophthalmitis was diagnosed as resulting from eye injuries in 8 eyes, endogenous endophthalmitis in 2 eyes, cataract surgery in 2 eyes, glaucoma surgery in 2 eyes, keratitis in 1 eye, hypermature stage cataract phacoanathylactic endophthalmitis in 1 eye. The postoperative visual acuities of 8 patients increased in various degrees. Six patients(55%)were out of blindness(visual acuity >0.05).

CONCLUSION: Eye injury is the most common cause of endophthalmitis, and vitrectomy can recover the visual function of the patients to different levels.