摘要
目的探讨青光眼滤过术后迟发性眼内炎的病因、治疗方法及预后。方法选择我院收治的行滤过手术治疗青光眼患者582例,迟发眼内炎患者9例,未迟发眼内炎患者573例,对比2组患者情况,观察迟发组的预后。结果 2组患者在使用丝裂霉素C、薄壁滤过泡2个方面的差异有统计学意义(P<0.05);使用丝裂霉素C、薄壁滤过泡是术后迟发眼内炎的独立危险因素(P<0.05);治疗后视力水平≥0.01的患者明显多于治疗前(P<0.05)。结论青光眼滤过术后迟发性眼内炎的发生与丝裂霉素C、薄壁滤过泡相关,及时诊断、治疗能获得较好的视力预后效果。
Objective To investigate the causes,treatment and prognosis of delayed endophthalmitis after glaucoma filtration surgery.Methods A total of 582 cases patients with glaucoma were selected in our hospital,of whom there were 9 cases of delayed endophthalmitis patients and 573 cases of normal patients.The two groups were compared,and the prognosis of delayed group was observed.Results The difference in mitomycin C,thin-wall blebs of two group was significant（P＆lt;0.05）;mitomycin C,thin-wall blebs were independent risk factor for delayed endophthalmitis（P＆lt;0.05）;patients whose vision level≥ 0.01 after treatment accounted significantly more than those before treatment（P＆lt;0.05）.Conclusion Delayed endophthalmitis after glaucoma filtration surgery has relation with mitomycin C and thin-wall blebs;timely diagnosis and treatment can ensure better visual prognosis.
出处
《安徽医学》
2013年第5期588-590,共3页
Anhui Medical Journal
关键词
青光眼滤过术
眼内炎
病因
治疗方法
预后
Glaucoma filtration surgery
Endophthalmitis
Etiology
Treatment
Prognosis
