白内障超声乳化术不同切口与发生急性眼内炎的关系分析

Analysis of the Relationship between Phacoemulsification with Different Incisions and Acute Endophthalmitis

目的分析白内障超声乳化术两种切口即透明角膜切口与巩膜隧道切口眼内炎发生的关系。方法选取2007年1月至2011年6月在我院接受白内障超声乳化术的1934例(2061眼),比较分析其切口与眼内炎发病率的相关性。结果 2061眼发生9眼眼内炎,总发病率为0.437%。其中8眼为透明角膜切口,1眼为巩膜隧道切口,发病率分别为0.779%、0.097%。两种切口的眼内炎发病率有明显差别。透明角膜切口较巩膜隧道切口易发生眼内炎。结论白内障超声乳化术中手术切口与眼内炎的发生有显著相关性,采用巩膜隧道切口可减少眼内炎的发生率。

Objective To analyze the relationship between phacoemulsification with three incisions like transparent corneal incision,angle sclera margin incision and sclera tunnel incision and endophthalmitis.Methods 1934 patients（2061 eyes）who accepted phacoemulsification in our hospital from January 2007 to June 2011 were collected,the correlation between this incision and the incidence of endophthalmitis was analyzed.Results 9 cases of endophthalmitis occurred,making an overall incidence of 0.437%,in which 8 cases was clear corneal incision;1 case was sclera tunnel incision,the rate was respectively 0.779% and 0.097%.The incidence of endophthalmitis with two incisions has significant differences.Conclusion The incision of cataract surgery has significant correlation with endophthalmitis occurrence,the scleral tunnel incision may reduce the incidence of endophthalmitis.