“复明一号”白内障扶贫复明术后感染性眼内炎的临床分析

Clinic analysis of infective endophthalmitis after cataract surgeries in Sight Care No.1

目的:探讨大批量白内障扶贫复明手术术后感染性眼内炎的防治方法。方法:回顾性分析"复明一号"1996-07/2011-08完成的30312例贫困白内障患者扶贫复明手术后9例感染性眼内炎患者的病例特点和治疗经过。结果:贫困白内障患者30312例复明手术后9例并发眼内炎,发病率为0.03%。经过药物及手术治疗,7例感染被控制,视力不同程度恢复,2例眼球摘除。结论:大批量白内障扶贫复明手术需要医生术前细致筛查患者,严格掌握手术适应证;强化手术车的消毒管理,规范围手术期的处理,提高手术技能;发生眼内炎后应积极救治,尽早行玻璃体腔注射抗生素及玻璃体切除术,以挽救患者的视力。

AIM： To study the infective endophthalmitis after multitudinous cataract surgeries in the Restoring Eye Sight, Assisting the Poor Project and to discuss the methods for prevention and treatment of this complication. METHODS. A retrospective analysis was performed on cataract surgeries underwent in Mobile Eye Treatment Centre of Shaanxi province （Sight Care No. 1 ） during past 15 years from 1996 to 2011. RESULTS： Among 30 312 cases underwent cataract surgery, 9 cases （ 0. 03%） suffered infective endophthalmitis. After the treatment, the visions of 7 patients were recovered to varying degrees, and enucleation was performed in 2 cases. CONCLUSION： It is necessary for surgeons to examine patients carefully, strictly master the surgery indications, pay attention to the sterilization, regulate perioperative treatment, and improve surgical skills. When infective endophthalmitis is once occurred, it should be treated immediately. To apply antibiotic and cortisol therapy into vitreous and vitrectomy as soon as the endophthalmitis is diagnosed, the vision can be recovered.