摘要
目的:总结细菌性眼内炎经玻璃体腔穿刺给药(以下简称TAP)或/和经平坦部玻璃体切除术(以下简称VIT)的治疗情况。方法:61例61眼外源性细菌性眼内炎患者,35眼TAP治疗;其中12眼无效再VIT治疗;26眼VIT治疗。结果:23眼仅TAP治疗者22眼视力进步,0.1及以上者13眼,玻璃体清晰或混浊明显减轻,12眼先TAP后VIT治疗者7眼视力进步,玻璃体全部清晰;26眼VIT治疗者20眼视力光感及以上,其中5眼视力0.1及以上,玻璃体均清晰;6眼视力丧失。VIT主要并发症为:眼内出血,视网膜脱离,白内障、角膜内皮水肿。结论:TAP方法简便,眼内损伤少,应首选,尤适合于玻璃体混浊局限于前中段,较早期的细菌性眼内炎;VIT操作复杂,有并发症,适合于TAP治疗无效以及含有眼内异物或视网膜前有机化膜。
Objective:To sum up the therapeutic effects of par plana vitreous tapping and drug injection (TAP) or/and par plana vitreyomy (VIT) for treatment of becterial external endophalmitis.Methods:61 eyes of 61 patients were treated,23 eyes with TAP,12 eyes with TAP and VIT afterwords,26 eyes with VIT.Results:Of the 23 eyes with TAP:22 eyes had improved vision and 13 eyes among them obtaining visual acuities 0.1 or better,the muddy vitreous body reduction or clear.Of the 12 eyes with TAP and VIT:7 eyes had improved vision and all muddy vitreous body clear.Of the 26 eyes with VIT:20 eyes had improved vision and 5 eyes among them obtaining visual acuities 0.1 or better,the muddy vitreous body clear.6 eyes had no vision.The major complication of VIT was intraocular hemorrhage,retina detachment,cataract,specular oedma.Conclusion:TAP was a simpler and easier method.It made intraocular tissue less injury.It should be used at first.Its suitable for endophthalmitis of the muddy vitreous body of the front and the middle part.VIT is suitable for patients no curing with TAP and having combining disease,forexample,intraocular foreign body,the membrane in front the retinal,retinal detachment.
出处
《中国实用眼科杂志》
CSCD
1999年第6期373-375,共3页
Chinese Journal of Practical Ophthalmology