CAJ | 학술논문

目的分析感染性眼内炎的早期诊断及治疗方法.方法回顾性分析46例(46只眼)感染性眼内炎患者,对17例轻度眼内炎患者行玻璃体腔内注药,其中2例病情继续发展行玻璃体手术；对29例重度眼内炎患者行玻璃体切除联合玻璃体腔内注药术,术前均常规抽取玻璃体行病原学检查,分析比较两组患者治疗前后视力、眼压变化及眼球保留情况.结果 46例感染性眼内炎均得到控制,眼球保存率100％.16例玻璃体培养结果阳性,阳性率34.8％.行玻璃体腔内注药组注药前后视力比较差异有统计学意义(Z =2.649,P＜0.05),注药前后眼压比较差异无统计学意义(t=2.040,P＞0.05)；行玻璃体切除联合玻璃体腔内注药组手术前后视力比较差异有统计学意义(Z =3.395,P＜0.05),手术前后眼压比较差异无统计学意义(t=0.107,P＞0.05).结论感染性眼内炎早期诊断及正确治疗能挽救眼球,使视功能不同程度的恢复.
목적 분석감염성안내염적조기진단급치료방법.방법 회고성분석46례(46지안)감염성안내염환자,대17례경도안내염환자행파리체강내주약,기중2례병정계속발전행파리체수술；대29례중도안내염환자행파리체절제연합파리체강내주약술,술전균상규추취파리체행병원학검사,분석비교량조환자치료전후시력、안압변화급안구보류정황.결과 46례감염성안내염균득도공제,안구보존솔100％.16례파리체배양결과양성,양성솔34.8％.행파리체강내주약조주약전후시력비교차이유통계학의의(Z =2.649,P＜0.05),주약전후안압비교차이무통계학의의(t=2.040,P＞0.05)；행파리체절제연합파리체강내주약조수술전후시력비교차이유통계학의의(Z =3.395,P＜0.05),수술전후안압비교차이무통계학의의(t=0.107,P＞0.05).결론 감염성안내염조기진단급정학치료능만구안구,사시공능불동정도적회복.
Objective To analyze the methods of early diagnosis and treatment for infectious endophthalmitis.Methods The retrospective study included 46 patients (46 eyes),17 patients with mild infectious endophthalmitis received intravitreal injection.Among them,2 patients whose disease continued to develop received vitrectomy,29 patients with severe infectious endophthalmitis received vitrectomy combined with intravitreal injection.Vitreous body was taken in all patients before surgery for etiological examination.The visual acuity,intraocular pressure and eye retention situation before and after treatment were comparatively analyzed.Results Infectious endophthalmitis was controlled in all patients after treatment.The rate of eye retention was 100％.16/46 (34.8％) vitreous samples were positive for culture.In the group of intravitreal injection,the visual acuity improved significantly after injection (Z =2.649,P ＜0.05) and there was no significant difference of intraocular pressure before and after injection (t =2.040,P ＞0.05).In the group of vitrectomy combined with intravitreal injection,the visual acuity improved significantly after surgery (Z =3.395,P ＜0.05) and there was no significant difference of intraocular pressure before and after surgery (t =0.107,P ＞0.05).Conclusions Early diagnosis and treatment of infectious endophthalmitis can save eye and recover visual acuity inordinately.