中国医科大学学报2013，Vol.42Issue(4)：301-303,3.
白内障术后眼内炎的危险因素及临床分析
Risk Factor and Clinical Analysis of Endophthalmitis after Cataract Surgery
摘要
Abstract
Objective To study the risk factors and clinical features of endophthalmitis after cataract surgery,and to discuss the visual prognosis after vitrectomy for endophthalmitis. Methods This study was made on 25 eyes that underwent a vitrectomy for endophthalmitis which had developed within 6 weeks after cataract surgery. They were divided into 2 groups according to the presence (group A) or absence ( group B ) of risk factors, and the clinical features and prognosis were retrospectively compared. Results The culture-positive rate in group A and B was 60% and 66%, respectively. The incidence of a final visual acuity of more than 1.0 was significantly lower in group A (10%) than in group B (46%,P< 0.05). Methicillin-resistant staphylococcus aureus,hemolytic streptococcus and enterococcus were frequently detected in group A. Leakage from the cataract wound was found in about 70% of the patients with comeal incisions, and a wound that had not been covered by the conjunctiva was significantly more frequent in group A (P< 0.05). Conclusion Postoperative endophthalmitis has a worse visual prognosis in patients with risk factors,so precise wound construction during cataract surgery is necessary in these patients.关键词
术后眼内炎/玻璃体切割术/危险因素/白内障Key words
postoperative endophthalmitis/ vitrectomy/ risk factor/ cataract分类
医药卫生引用本文复制引用
王春霞,于紫燕,马立威,赵宇,张劲松..白内障术后眼内炎的危险因素及临床分析[J].中国医科大学学报,2013,42(4):301-303,3.基金项目
国家自然科学基金资助项目(81000402) （81000402）
