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目的评价玻璃体腔注药、玻璃体切割术治疗白内障术后急性眼内炎的疗效。方法回顾性分析1998年至2004年我院及外院转来白内障术后急性眼内炎患者8例8眼,明确诊断后,不论以后是否行玻璃体切割术,均即刻行玻璃体穿刺吸取玻璃体行真菌、细菌涂片,培养及药敏检查,并行玻璃体腔注药,视情况早期行玻璃体切割术+玻璃体腔注药。结果8眼中,1眼细菌感染合并真菌感染者行眼内容物挖除,7眼炎症控制,视力提高,其中脱残≥0.3者5眼(62.5%)。结论早期诊断,即刻行玻璃体腔注药,早期行玻璃体切割术是治疗白内障术后急性眼内炎的有效方法。
Objective To evaluate the efficacy of intravitreal injection and vitrectomy in the treatment of acute endophthalmitis after cataract surgery. Methods A retrospective analysis of 8 cases and 8 eyes of patients with acute endophthalmitis after cataract surgery was transferred from our hospital to the outside hospital from 1998 to 2004. After definite diagnosis, vitrectomy was performed immediately after vitrectomy with or without vitrectomy, Bacterial smear, culture and drug susceptibility testing, parallel glass injection, depending on the circumstances early vitrectomy + vitreous cavity injection. Results In 8 eyes, one eye was infected with fungal infection and the eye was excised. Seven eyes were controlled by inflammation and visual acuity was improved. Among them, 5 eyes (62.5%) had disability ≥ 0.3. Conclusion Early diagnosis, immediate intravitreal injection, early vitrectomy is an effective method of treatment of acute endophthalmitis after cataract surgery.