国际眼科杂志2018，Vol.18Issue(2)：343-345,3.DOI:10.3980/j.issn.1672-5123.2018.2.36
23G玻璃体切割术治疗白内障术后迟发型眼内炎的疗效观察
Clinical effect of 23 - gauge pas plana vitectomy for delay-onset endophthalmitis following cataract surgery
张媛 1金玮 1肖璇 1杨安怀1
作者信息
- 1. 430060 中国湖北省武汉市,武汉大学人民医院眼科中心
- 折叠
摘要
Abstract
AIM: To discuss the clinical effect of 23-gauge pas plana vitrectomy ( PPV) for delay-onset endophthalmitis following cataract surgery.? METHODS: This retrospective chart review study included patients with delay-onset endophthalmitis that was present 6wk or more after cataract surgery, who underwent 23-gauge PPV from January 2010 to January 2016 at Renmin Hospital of Wuhan University. The diagnosis was made according to clinical symptoms and signs. The postoperative follow - up results were recorded, including anterior segment examinations, fundus examinations, and best-corrected visual acuity.?RESULTS:Totally 15 patients (15 eyes) were included. The average time between cataract surgery and their eye symptoms of endophthalmitis was 5. 13 ± 2. 41mo. The culture isolates revealed that 9 eyes ( 60％) were cultured positive, anaerobes in 4 eyes (44％), fungal infections in 3 eyes ( 33％) , aerobes in 2 eyes ( 22％) . The mean follow-up period was 12mo. The final visual outcomes were as follows:11 eyes ( 73％) achieved a better vision with PPV; 3 eyes ( 20％) achieved a better vision with PPV, total capsulectomy ( TC ) and IOL removal; 1 eye ( 7％) with PPV, silicone oil tamponade, total capsulectomy ( TC ) and IOL removal was enucleated because of uncontrolled inflammation.?CONCLUSION: The 23-gauge PPV is safe and effective for the management of delay - onset endophthalmitis following cataract surgery. Recurrence rate might be decreased with total capsulectomy and IOL removal.关键词
白内障手术/迟发型眼内炎/玻璃体切割术Key words
cataract surgery/delay - onset endophthalmitis/pas plana vitrectomy引用本文复制引用
张媛,金玮,肖璇,杨安怀..23G玻璃体切割术治疗白内障术后迟发型眼内炎的疗效观察[J].国际眼科杂志,2018,18(2):343-345,3.
