内源性化脓性眼内炎的临床特征及治疗

Clinical feature and treatment of endogenous infective endophthalmitis

目的:总结内源性感染性眼内炎的相关因素,临床表现,治疗方法及效果。方法:对解放军总医院收治的16例20眼内源性眼内炎进行回顾性分析。结果:存在发热患者13例,3例起病前有手术史,8例起病前、起病时合并有全身感染史。致病菌的检出率为33%。结论:大手术后或发热可能为内源性眼内炎的诱发因素。及时诊断,玻璃体切割手术,全身及局部抗感染治疗是控制感染的最有效方法。

AIM： To summarize the correlation factor, clinical manifestation, the therapeutic method and effect for endogenous infective endophthalmitis. METHODS： The endogenous endophthalmitis were retrospectively analyzed for 20 eyes of 16 cases treated in PLA General Hospital.RESULTS： Thirteen cases existed fever,3 cases had an operation history pre-onset and 8 cases combined general infection history when onset.CONCLUSION ： Endogenous infective endophthalmitis is an emergency case in ophthalmology which harmed the visual acuity seriously, major operation, input nutrient fluid via vein, diabetes mellitus, deep part abscess and fever without any obvious reasons maybe the predisposing factor for endogenous endophthalmitis. Diagnosis in time, Vitrectomy combined with sensitive general and partly antibiotics are the effective methods to control the infection.