白内障摘除及人工晶体植入术后感染性眼内炎的临床分析

Analysis of the infective endophthalmitis after cataract surgery and IOL implantation

目的探讨白内障摘除及人工晶体植入术后感染性眼内炎的易感因素、治疗方法及预防措施。方法回顾分析1999年1月～2010年10月5例感染性眼内炎的临床资料。结果 5例患者均有严重全身疾病,体质弱。2例有明确的切口错位病史,1例为消毒不合格所致。霉菌感染1例。表皮葡萄球菌感染2例。未检出病原体2例。行玻璃体腔内注射治疗1例,角膜移植1例,行玻璃体切割手术3例。所有患者均保住眼球。视力最佳达0.3。结论感染性眼内炎与患者全身状况、手术切口、术后护理、手术环节等有关。及时行玻璃体切割手术是最有效的治疗方法。

Objective Discussion the susceptible factors,treatments and prevention of the infective endophthalmitis after cataract surgery and IOL implantation.Methods Analyzing five cases of infective endophthalmitis from Jan 1999 to Dec 2010.Results The five patients were very weak and all had severe systemic disease.For peri-surgery history： two cases had obvious dislocation incision,one had unqualified sterilization,two had no obvious reasons.For microorganism culture： one was mould infection,two were Staphylococcus epidermidis infection,and other two had negative cultivation.For treatments： one had vitreous injection,one had corneal transplantation,and other three had vitrectomy.All saved the eyes,and the best visual acuity is 0.3.Conclusion The infective endophthalmitis is related with the systemic situation,surgical incision,post-surgical clinical care and surgical procedures.The best method is vitrectomy.