白内障术后眼内炎防治措施临床研究进展

Clinical research progress on the prevention and treatment of entophthalmia after cataract surgery

白内障手术是眼科手术的重要组成部分,随着手术技巧的不断提升以及新型人工晶体不断投入临床,医患双方对术后疗效的要求正在逐渐提高。白内障术后眼内炎是白内障手术最为严重的并发症之一,具有破坏性高、进展迅速的特点,是影响疗效的首要问题,若是不能及时、有效地进行处理,会严重影响患者的预后,甚至导致失明。因此,能否对术后眼内炎进行有效防治,成为白内障围手术期需要面对和解决的核心问题。为使眼科临床医师对该病有较全面的认识,该文就白内障术后眼内炎的发病率、致病菌、危险因素、预防、治疗及预后等予以综述。

Cataract surgery is an important part of eye surgery, as the operative skill increase and more and more new type intraocular lens were put in clinical practice, the demands of both doctors and patients on postoperative curative effect are increasing. Postoperative entophthalmia is one of the serious complications after cataract surgery with the characteristic of high destructiveness and rapid progress, which is the first problem that affects the clinical effect. It will seriously affect the patient＇s prognosis and even lead to blind-ness with the untimely and non effective treatment. Therefore, how to prevent and cure entophthalmia has become an urgent problem in cataract perioperative period. In order to help ophthalmologists to have a com-prehensive understanding of the disease, the incidence, pathogenic bacteria, risk factors, prophylaxis, ther-apeutic and prognosis of entophthalmia after cataract surgery are reviewed in this paper.