摘要
目的:分析外伤性眼内炎病原学及治疗方法。方法:对2010-09/2012-08我院收治的39例39眼外伤性眼内炎患者的病原学检查、治疗方法、治疗效果进行回顾性分析。结果:检出病原菌18例,总检出率为46%(18/39),涂片检查结果中Gram阳性(G+)球菌12例,占67%(12/18),G+杆菌4例,占22%(4/18)。视力提高者20例(51%),视力不变者8例(21%),视力下降者7例(18%),视力检查不配合者4例(10%)。结论:外伤性眼内炎尽早行病原学检查,指导临床用药;玻璃体腔注药及玻璃体切除术是治疗眼内炎的有效方法。
AIM： To analyze the etiology, treatment and treatment effect of traumatic endophthalmitis. METHODS, Totally 39 cases traumatic endophthalmitis patients in our hospital from 2010 to 2012 underwent pathogenic examination, and the treatment and treatment effects were analyzed retrospectively. RESULTS. Pathogens were detected in 18 cases, the total detection rate was 46% （18/39）, smear results showed Gram- positive （ G＋ ） cocci 12 cases, accounting for 67% （12/18）, G＋ bacilli four cases, accounting for 22% （4/18）. Visual acuity improved in 20 cases （51%）, visual acuity unchanged in 8 cases （21%）, visual acuity decreased in 7 cases （18%）, visual acuity incoordinate in 4 cases （10%）. CONCLUSION. Traumatic endophthalmitis should underwent as early as possible bacterial culture, clinical treatment, choose different treatment to different conditions, focusing on the prevention of endophthalmitis.
出处
《国际眼科杂志》
CAS
2013年第5期1036-1037,共2页
International Eye Science
关键词
眼内炎
病原学检查
眼外伤
endophthalmitis
pathogenic examination
ocular trauma
