白内障术后感染性眼内炎的临床分析

Clinical analysis of infectious endophthalmitis after cataract surgery

目的探讨白内障摘出术后感染性眼内炎的发病因素、治疗方法及效果。方法回顾分析我院10年来，白内障术后眼内炎14例（14眼）的发病因素、治疗方法和后果。结果经过前房冲洗＋玻璃体腔注药和全身抗感染等治疗，所有患眼的感染均被控制，出院时视力1眼无光感；3眼光感；其余10眼均达数指以上。结论白内障术后眼内炎发病因素很多，早期前房冲洗＋玻璃体内注药是控制眼内炎，改善预后的关键，特别是对于无条件开展玻璃体手术的基层医院尤为重要。

Objective To investigate the risk factors, treatment methods and therapeutic effects of infectious endophthalmitis after cataract surgery. Methods 14 cases （14 eyes）with infectious endoph- thalmitis following cataract surgery over the past decade were collected retrospectively to analysis the risk factors, treatment methods, and therapeutic effects. Results By anterior chamber irrigation chamber combined with intravitreal injection therapy and systemic anti-infective therapy, the inflammation was controlled in all pateints. The visual acuity when discharged from hospital： 1 case was no light perception, 3 cases were light perception, 10 cases were above of counting fingers. Conclusion There are many risk factors associated infectious endophthalmitis after cataract surgery. Early anterior chamber irrigation combined with intraocular injection of antibiotic drugs are key factors to controll inflammation, improve the prognosis, especially in the rural area hospital.