白内障超声乳化术后发生急性感染性眼内炎的治疗分析

Treatment of acute infective endophthalmitis after phacoemulsification of cataract

目的分析白内障超声乳化术后发生急性感染性眼内炎的治疗效果。方法回顾性分析天津武清爱尔眼科医院自2019年1月-2022年1月接诊的65例(65眼)白内障超声乳化术后发生急性感染性眼内炎患者作为研究对象,均采取玻璃体切割术治疗,根据术中是否保留人工晶状体,分为保留组(34例)和取出组(31例)。比较两组手术情况、最佳矫正视力改善及并发症发生情况。结果两组玻璃体内注射抗生素患眼占比、眼内液总体培养阳性率和硅油填充占比相当(P>0.05);两组术后最佳矫正视力均较术前明显改善,术前及术后两组最佳矫正视力比较,差异明显(P<0.05);两组高眼压发生率比较,差异不显著(P>0.05)。结论玻璃体切割术能有效治疗白内障超声乳化术后发生急性感染性眼内炎,提高最佳矫正视力,而术中是否保留人工晶状体,可能取决于术前最佳矫正视力的高低。

Objective To analyze the therapeutic effect of acute infective endophthalmitis after phacoemulsification of cataract.Methods Sixty-five patients(65 eyes)with acute infectious endophthalmitis after phacoemulsification in our hospital from January 2019 to January 2022 were retrospectively analyzed.All patients were treated with vitrectomy.According to whether intraocular lens was preserved during the operation,they were divided into preservation group(n=34)and removal group(n=31).Compare two groups of operation situation,best corrected visual acuity and complications of improvement.Results The proportion of eyes affected by intravitreal antibiotic injection,positive rate of intraocular fluid culture and proportion of silicone oil filling were similar between the two groups(P>0.05).The best corrected visual acuity of the two groups was significantly improved after operation,and there was significant difference between the two groups before operation and after operation(P<0.05).There was no significant difference in the incidence of ocular hypertension between the two groups(P>0.05).Conclusion Vitrectomy can effectively treat acute infective endophthalmitis after phacoemulsification and improve the best corrected visual acuity,while whether intraocular lens is preserved may depend on the preoperative best corrected visual acuity.