CAJ | 학술논문

目的：比较白内障术前应用不同浓度聚维酮碘溶液结膜囊冲洗，术后眼内炎和不良反应发生率，以评价50 g/L浓度聚维酮碘溶液预防白内障术后眼内炎的有效性、安全性。 　　方法：将500例白内障手术治疗患者分为50 g/L聚维酮碘组和25 g/L聚维酮碘组，术中、术后观察眼部体征并询问患者主观不适。 　　结果：50 g/L聚维酮碘组眼部刺激症状较25 g/L聚维酮碘组明显，但角膜上皮脱失情况和眼内炎的发生两组无区别。 　　结论：术前结膜囊内使用50 g/L聚维酮碘溶液是一种有效、安全的预防白内障术后眼内炎的措施。
목적：비교백내장술전응용불동농도취유동전용액결막낭충세，술후안내염화불량반응발생솔，이평개50 g/L농도취유동전용액예방백내장술후안내염적유효성、안전성。 　　방법：장500례백내장수술치료환자분위50 g/L취유동전조화25 g/L취유동전조，술중、술후관찰안부체정병순문환자주관불괄。 　　결과：50 g/L취유동전조안부자격증상교25 g/L취유동전조명현，단각막상피탈실정황화안내염적발생량조무구별。 　　결론：술전결막낭내사용50 g/L취유동전용액시일충유효、안전적예방백내장술후안내염적조시。
AIM: To evaluate the efficiency and safety of 50g/L povidone-iodine solution in preventing postoperative endophthalmitis through comparing the incidence of postoperative endophthalmitis and adverse reactions after conjunctival sac washing with povidone -iodine of different concentrations. METHODS: Totally 500 cataract patients were divided into 50g/L povidone-iodine group and 25g/L povidone-iodine group.All the operated eyes were observed during and after surgery.The patients'subjective discomfort was inquired and their signs of eyes were recorded. RESULTS: The eye irritation of 50g/L povidone-iodine group was more significant than 25g/L povidone-iodine group.No significant difference in the corneal epithelial loss and endophthalmitis was observed between two groups. CONCLUSION: Conjunctival sac washing with 50g/L povidone-iodine is an effective and safe measure to prevent endophthalmitis after cataract surgery.