玻璃体切割术治疗内源性克雷伯菌属眼内炎的疗效研究

Clinical research on the effect of vitrectomy for endogenous Klebsiella endophthalmitis

目的:探讨、评价并分析玻璃体切割术治疗内源性克雷伯菌属眼内炎的临床疗效。方法:对11例12眼内源性克雷伯菌属眼内炎进行玻璃体切割术治疗,根据术中视网膜情况辅以剥膜、硅油充填。结果:术后所有患者12眼玻璃体腔清晰,视力较术前明显提高,其中3眼(25%)术后视力0.1～0.3。随访3mo,2眼发生晶状体混浊。结论:以玻璃体切割术为主的综合治疗是内源性克雷伯菌属眼内炎有效的治疗方法。

·AIM：To investigate,evaluate and analyze clinical effect of vitrectomy for endogenous Klebsiella endophthalmitis.·METHODS：A total of 11 patients（12 eyes）with endogenous Klebsiella endophthalmitis underwent vitrectomy.According to the condition of retina,they were accompanied with membrane peeling and silicone oil tamponade during vitrectomy.·RESULTS：Postoperatively,vitreous cavities of 12 eyes were all clear,visual acuity was better than before.3 eyes（25%）achieved final visual of 0.1-0.3.The follow-up time was 3 months,and only 2 eyes developed lens opacity.·CONCLUSION：Vitrectomy is an effective method for endogenous Klebsiella endophthalmitis.·