中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
6期
436-438
,共3页
眼内炎,内源性,真菌性%特点,临床%治疗,手术
眼內炎,內源性,真菌性%特點,臨床%治療,手術
안내염,내원성,진균성%특점,림상%치료,수술
Endophthalmitis,endogenous,fungal%Characteristics,clinical%Treatment,surgical
目的 分析内源性真菌性眼内炎的临床特征及手术治疗效果.方法 回顾性研究,分析6例(7眼)的临床特点和手术效果.结果 共6例(7眼),均无眼外伤或内眼手术史,无全身侵入性操作史.本病的特点是易发生于老年、女性、糖尿病者、长期使用糖皮质激素者.早期临床表现与一般葡萄膜炎相似.3例(3眼)行眼球摘除术,1例(双眼患者)死亡,1例(1眼)行玻璃体切除术加玻璃体腔注射抗真菌药物,保存了部分视功能,1例失访.结论 内源性真菌性眼内炎根据病史、临床表现及实验室检查可以确诊并且与一般葡萄膜炎相鉴别,早期施行玻璃体切除加玻璃体腔抗真菌药物注射可以保存部分视功能.
目的 分析內源性真菌性眼內炎的臨床特徵及手術治療效果.方法 迴顧性研究,分析6例(7眼)的臨床特點和手術效果.結果 共6例(7眼),均無眼外傷或內眼手術史,無全身侵入性操作史.本病的特點是易髮生于老年、女性、糖尿病者、長期使用糖皮質激素者.早期臨床錶現與一般葡萄膜炎相似.3例(3眼)行眼毬摘除術,1例(雙眼患者)死亡,1例(1眼)行玻璃體切除術加玻璃體腔註射抗真菌藥物,保存瞭部分視功能,1例失訪.結論 內源性真菌性眼內炎根據病史、臨床錶現及實驗室檢查可以確診併且與一般葡萄膜炎相鑒彆,早期施行玻璃體切除加玻璃體腔抗真菌藥物註射可以保存部分視功能.
목적 분석내원성진균성안내염적림상특정급수술치료효과.방법 회고성연구,분석6례(7안)적림상특점화수술효과.결과 공6례(7안),균무안외상혹내안수술사,무전신침입성조작사.본병적특점시역발생우노년、녀성、당뇨병자、장기사용당피질격소자.조기림상표현여일반포도막염상사.3례(3안)행안구적제술,1례(쌍안환자)사망,1례(1안)행파리체절제술가파리체강주사항진균약물,보존료부분시공능,1례실방.결론 내원성진균성안내염근거병사、림상표현급실험실검사가이학진병차여일반포도막염상감별,조기시행파리체절제가파리체강항진균약물주사가이보존부분시공능.
Objective To analyze the clinical characteristic,diagnosis and surgical treatment results of endogenous fungal endophthalmitis.Methods A retrospective study of 6 cases (7 eyes) was done.The susceptible factors,pathological feature and surgical treatment were analyzed.Results The seven eyes of 6 cases had no eye injuries,no eye surgery,no systemic invasive operation history before were involved.Endogenous fungal endophthalmitis susceptible factors included elder,women,poor diabetes control and long-term use of glucocorticoid.Early clinical manifestation was not easy to distinguish from other uveitis.The treatment results included 3 cases (3 eyes) of enucleation of eyeball,1 case (2 eyes) died,1 case (1 eye) treated with pars plana vitrectomy and injection of antifungal medicine,and part of the visual function was saved.1 case was lost to follow-up.Conclusion Endogenous fungal endophthalmitis can be distinguished with other uveitis by history,clinical manifestation and laboratory examination.Early implementation of pars plana vitrectomy and injection of antifungal medicine can save part of visual function.
