眼内炎的分级标准和临床意义

A new degree standard of endophthalmitis and the clinical significance

目的 提出眼内炎的分级标准,探讨其在眼内炎玻璃体切除术中的指导意义。方法 采取标准三切口闭式玻璃体切除术治疗眼内炎患者。手术中特别注意观察玻璃体、视网膜的改变,做为评判眼内炎的标准。结果 玻璃体切除术治疗眼内炎患者38眼。Ⅰ级眼内炎5眼。Ⅱ级眼内炎8眼。Ⅲ级眼内炎2 4眼。Ⅳ级眼内炎1眼。手术治疗眼内炎38眼,一次手术成功率84 2 % ,其中Ⅰ、Ⅱ级眼内炎一次手术成功率92 . 3% ,Ⅲ级眼内炎一次手术成功率83. 3%。最终眼球保留者占89. 5 %。结论 根据玻璃体切除术中观察玻璃体、视网膜的改变做为评判眼内炎的分级标准是客观、直接、可行的方法。

Objective To advance a new degree standard of endophthalmitis and explore the leading significance in the vitrectomy for endophthalmitis.Methods The pars plana vitrectomy was made for patients with endophthalmitis.A degree standardard of endophthalmitis was advanced on the basis of the change of vitreous and retina observed int he process of paes plana vitrectomy.Results 38 eyes of endophthalmitis were performed vitrectomy.Ⅰ degree is 5 eyes,Ⅱ degree is 8 eyes,Ⅲ degree is 24 eyes,Ⅳ degree is 1 eye were treated.The successful rate of a operation in 84.2%.89.5% of the eye globe was saved finally.Conclusions It is a direct objective feasible way on the basis of the change of vitreous and retina observed in teh process of paes plana vitrectomy.The degree standard of endophthalmitis has profound lending significance in the vitrectomy for endophthalmitis.