某三甲眼科医院超声乳化白内障术后感染性眼内炎的临床及病原学特点分析

Clinical and pathogenic characteristics of infective endophthalmitis after phacoemulsification in a third grade-A ophthalmic hospital

目的探究超声乳化白内障术后感染性眼内炎的临床及病原学特点。方法回顾性分析某三甲眼科医院2012年1月至2022年12月超声乳化白内障术后感染性眼内炎患者临床特点、病原学特点、治疗及预后情况。结果11年间共调查超声乳化白内障术后116019例,急性细菌性眼内炎发生26例(0.022%),感染率逐年下降。共检出病原菌13株,经治疗后视力可部分恢复。结论超声乳化白内障术后感染性眼内炎多发生于术后1周内,年龄大于65岁发病率最高,病原菌以表皮葡萄球菌、产色葡萄球菌多见;早期病原学检验、规范化的治疗可以获得较好的预后效果。

Objective To explore the clinical and etiological characteristics of infectious endophthalmitis after phacoemulsification cataract surgery.Methods A retrospective analysis of the clinicalfeatures,etiological factors,treatment,and prognosis of patients with contagious endophthalmitis after phacoemulsification cataract surgery in a third-class eye hospital from January 2012 to December 2022.Results In 11 years,116,019 cases of phacoemulsification cataract surgery were investigated,26 cases of acute bacterial endophthalmitis(0.022%)occurred,and the infection rate decreased year by year.A total of 13 strains of pathogenic bacteria were detected,and vision can be partially restored after treatment.Conclusion Infectious endocarditis after phacoemulsification cataract surgerymainly occurs within one week after surgery,with the highest incidence in age over 65.Pathogens such as epidermal staphylococcus and chromogenic staphylococcus are more common.Early etiological examination and standardized treatment can achieve a good prognosis.