内眼手术后眼内炎治疗的长期随访

The long time follow-up result of G- bacteria endophthalmitis following surgery

目的观察白内障超声乳化摘除及人工晶状体植入手术后经微生物培养证实有明确革兰阴性细菌感染的眼内炎患者，行玻璃体切除，人工晶状体取除、联合敏感抗生素治疗，患者临床治愈后长期随访的结果。方法回顾性分析2例白内障超声乳化摘除术及人丁晶状体植入手术后，经微生物培养证实有明确革兰阴性细菌感染的眼内炎患者的长期随访资料，复习相关文献进行比照研究。结果两例患者长期随访结果表明视力不及出院时的视力，呈逐渐下降的改变。结论白内障超声乳化摘除术及人工晶状体植入手术后，革兰阴性细菌感染的眼内炎患者虽然经过积极治疗，可以保住眼球，保留一部分视觉功能，但长期随访结果表明患者的视力预后不良。

Objective To observe the long lowing phacoemulsification and intraocular lens time follow-up results of endophthalmitis patients fol- implantation. Methods The long time follow-up re- suits of 2 G bacteria endophthalmitis patients following phacoemulsification and intraocular lens im- plantation were retrospective analyzed, and compared with history literature. The pathogenic microbes were verified as G bacteria by culture and identification in laboratory. The patients received vitrecto- my and intraocular lens removal, and sensitive antibiotics intraocular injection. Results The vision of two patients appeared the trends of becoming decrease and was worsen than discharged from the hospital. Conclusions Endophthalmitis patients following phacoemulsification and intraocular lens im- plantation has poor prognosis, if the pathogenic microbes are verified as G-bacteria, even receive the active treatment.