中国社区医师Issue(8)：68-69,2.DOI:10.3969/j.issn.1007-614x.2015.8.42
超声乳化白内障吸除术后眼内炎的临床探析
Clinical analysis of phacoemulsification postoperative endophthalmitis
摘要
Abstract
Objective:To explore the related factors and prevention methods of phacoemulsification postoperative infectious endophthalmitis.Methods:63 372 patients with phacoemulsification and intraocular lens implantation were selected from January 2010 to January 2014.The clinical data were retrospectively analyzed.Results:14 eyes were infectious endophthalmitis,and the infection rate was 0.02%;11 eyes(78.6%) occurred before 2010;5 eyes(35.7%) were postoperative microtek shaped body posterior capsular rupture.The aqueous and vitreous pathogen examination results of 11 eyes showed that 7 eyes culture was positive;the eye number of staphylococcus epidermidis, pseudomonas aeruginosa, bacillus and fungi was 3,1,2.After treatment;the vision of 5 eyes were more than 0.2,manual or light,enucleation and atrophy of eyeball eye number was 2 in each.Conclusion:Implementing phacoemulsification,the probability of the occurrence of infectious endophthalmitis after operation is 0.02% ;staphylococcus epidermidis is the main pathogenic factors.The study find that microtek shaped body posterior capsular rupture is one of important risk factors to induce intraocular infection.According to strict routine preoperative,intraoperative and postoperative operation can effectively reduce the occurrence of postoperative infectious endophthalmitis situation.关键词
超声乳化白内障吸除术/眼内炎/因素/预防Key words
Phacoemulsification/Endophthalmitis/Factors/Prevention引用本文复制引用
王晓东..超声乳化白内障吸除术后眼内炎的临床探析[J].中国社区医师,2015,(8):68-69,2.
