方法：回顾性分析2008-01/2013-02我院收治的急性感染性眼内炎患者23例23眼临床资料，排除伴有球内异物的病例。所有患者均采用常规闭合三通道玻璃体切除联合硅油填充手术，其中6眼(并发外伤性白内障)联合Ⅰ期晶状体摘除+Ⅰ期人工晶状体植入术，3眼(并发外伤性白内障)联合Ⅰ期晶状体切除+Ⅱ期人工晶状体植入术， 4眼(硅油填充期间并发白内障)联合Ⅱ期晶状体摘除+Ⅱ期人工晶状体植入术，5眼(4眼外伤性眼内炎及1眼青光眼滤过泡漏致眼内炎)保留晶状体，1眼(白内障术后眼内炎)联合Ⅰ期人工晶状体取出+Ⅱ期人工晶状体植入，4眼(白内障术后眼内炎)保留人工晶状体。

结果：随访6～24mo，行玻璃体切除联合硅油填充手术的患者23例23眼眼内炎均得到有效控制，21眼(91%)患者视力不同程度提高。有2眼玻璃体切除术后眼压≥30mmHg，1眼行硅油取出术后眼压恢复正常，另1眼取硅油术后眼压仍高，需应用降眼压药物控制。

结论：急性感染性眼内炎患者及时行玻璃体切除联合硅油填充手术治疗，能有效控制眼内炎，提高患者视力。

METHODS:The clinical data of 23 patients(23 eyes)diagnosed with acute endophthalmitis in our hospital from January, 2008 to February, 2013 were retrospectively analyzed, excluding the patients with intraocular foreign body. All the patients were undergone routine closed three-channel vitrectomy with silicon oil, including 6 eyes(complicated with traumatic cataract)with Ⅰ lensectomy and Ⅰ intraocular lens(IOL)implantation, 3 eyes(complicated with traumatic cataract)with Ⅰ lensectomy and Ⅱ IOL implantation, 4 eyes(complicated with cataract during silicon oil tamponade)with Ⅱ lensectomy and Ⅱ IOL implantation, 5 eyes(4 eyes with traumatic endophthalmitis and 1 eye with entophthalmia caused by glaucoma filtering bleb leaking)reserved lens, 1 eye(post-cataract surgery entophthalmia)with Ⅰ IOL explantation and Ⅱ IOL implantation, and 4 eyes(post-cataract surgery entophthalmia)reserved lens.

RESULTS:Within follow-up 6～24mo, inflammation after vitrectomy surgery with silicon oil tamponade was controlled in all the 23 patients(23 eyes). Final visual acuity was improved in 21 eyes(91%). The intraocular pressure(IOP)of 2 eyes were over 30mmHg. IOP of 1 eye was controlled after silicon oil removed, and IOP of the other eye after silcon oil extraction was still high and needed to be controlled by IOP lowering drugs.

CONCLUSION: The patients of acuteinfectious endophthalmitis should undergo vitrectomy with silicon oil tamponade as early as possible, which can effectively controli endophthalmitis and improve visual acuity.