实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
3期
68-69
,共2页
眼内炎%玻璃体切割%硅油填充
眼內炎%玻璃體切割%硅油填充
안내염%파리체절할%규유전충
Endophthalmitis%Vitrectomy%Silicone oil tamponade
目的：观察总结玻璃体切割术后硅油填充治疗严重细菌性眼内炎的临床效果。方法10例10眼严重细菌性眼内炎患者，均在局麻下行睫状体平坦部的三通道玻璃体切割手术，人工晶体眼保留人工晶体，晶体混浊者行晶体切除，术中用万古霉素灌注，术毕眼内硅油填充，眼内注射万古霉素和头孢他啶。术后全身用抗生素7～10天，平均随访18月。结果10例患者感染均控制，保住了眼球。视功能有一定程度的恢复。矫正视力0．31例，0．05～0．36例，手动～0．052例，仅有光感1例。细菌培养1例绿脓杆菌感染，1例粪链球菌感染，2例表皮葡萄球菌感染。结论玻璃体切割硅油填充在治疗严重细菌性眼内炎疗效确切，利于控制感染，能够保住患者的眼球形态，部分患者有一定程度的视功能恢复。
目的：觀察總結玻璃體切割術後硅油填充治療嚴重細菌性眼內炎的臨床效果。方法10例10眼嚴重細菌性眼內炎患者，均在跼痳下行睫狀體平坦部的三通道玻璃體切割手術，人工晶體眼保留人工晶體，晶體混濁者行晶體切除，術中用萬古黴素灌註，術畢眼內硅油填充，眼內註射萬古黴素和頭孢他啶。術後全身用抗生素7～10天，平均隨訪18月。結果10例患者感染均控製，保住瞭眼毬。視功能有一定程度的恢複。矯正視力0．31例，0．05～0．36例，手動～0．052例，僅有光感1例。細菌培養1例綠膿桿菌感染，1例糞鏈毬菌感染，2例錶皮葡萄毬菌感染。結論玻璃體切割硅油填充在治療嚴重細菌性眼內炎療效確切，利于控製感染，能夠保住患者的眼毬形態，部分患者有一定程度的視功能恢複。
목적：관찰총결파리체절할술후규유전충치료엄중세균성안내염적림상효과。방법10례10안엄중세균성안내염환자，균재국마하행첩상체평탄부적삼통도파리체절할수술，인공정체안보류인공정체，정체혼탁자행정체절제，술중용만고매소관주，술필안내규유전충，안내주사만고매소화두포타정。술후전신용항생소7～10천，평균수방18월。결과10례환자감염균공제，보주료안구。시공능유일정정도적회복。교정시력0．31례，0．05～0．36례，수동～0．052례，부유광감1례。세균배양1례록농간균감염，1례분련구균감염，2례표피포도구균감염。결론파리체절할규유전충재치료엄중세균성안내염료효학절，리우공제감염，능구보주환자적안구형태，부분환자유일정정도적시공능회복。
Objective The aim of this study was to assess the clinic effects of pars plana vitrectomy with silicone oil endotam -ponade in the treatment of serious bacterial endophthalmitis .Methods Ten patients with serious bacterial endophthalmitis ( 10 eyes ) were treated with pars plana vitrectomy under local anesthesia .For those physio-crystal eyes,lentectomy was performed but intraocular lens were still reserved .Vancomycin was used as intraoperative intraocular perfuse aqua .Silicone oil tamponade was also performed .Af-ter operation,we injected vancomycin,and ceftazidime into the globe.Systemic administration of antibiotics was given for about 7 ~10days.The mean follow-up period was 18 months.Results Bacterial infection in the 10 patients was all controlled and eye enuclea-tion was avoided.There was a certain degree of recovery of visual function including that the best corrected visual acuity ( BCVA) 0.3 was found in one case ,0.05~0.3 in 6 cases and below 0.05 in 2 cases.There was one person had no vision but vision perceptive .Bac-terial culture showed that one patient was infected with pseudomonas aeruginosa ,one with enterococccus faecalis and two with staphylo-coccus epidermidis .Conclusion Emergent vitrectomy combined with silicone oil tamponade is effective for endogenous endophthalmi -tis.With this method ,some patients can avoid of eye enucleation and restore certain degree vision .
