CAJ | 학술논문

目的：研究玻璃体切除联合硅油填充手术治疗急性感染性眼内炎的临床效果。 　　方法：回顾性分析2008-01/2013-02我院收治的急性感染性眼内炎患者23例23眼临床资料,排除伴有球内异物的病例。所有患者均采用常规闭合三通道玻璃体切除联合硅油填充手术,其中6眼(并发外伤性白内障)联合Ⅰ期晶状体摘除+Ⅰ期人工晶状体植入术,3眼(并发外伤性白内障)联合Ⅰ期晶状体切除+Ⅱ期人工晶状体植入术,4眼(硅油填充期间并发白内障)联合Ⅱ期晶状体摘除+Ⅱ期人工晶状体植入术,5眼(4眼外伤性眼内炎及1眼青光眼滤过泡漏致眼内炎)保留晶状体,1眼(白内障术后眼内炎)联合Ⅰ期人工晶状体取出+Ⅱ期人工晶状体植入,4眼(白内障术后眼内炎)保留人工晶状体。结果：随访6~24mo,行玻璃体切除联合硅油填充手术的患者23例23眼眼内炎均得到有效控制,21眼(91%)患者视力不同程度提高。有2眼玻璃体切除术后眼压≥30mmHg,1眼行硅油取出术后眼压恢复正常,另1眼取硅油术后眼压仍高,需应用降眼压药物控制。 　　结论：急性感染性眼内炎患者及时行玻璃体切除联合硅油填充手术治疗,能有效控制眼内炎,提高患者视力。
목적：연구파리체절제연합규유전충수술치료급성감염성안내염적림상효과。 　　방법：회고성분석2008-01/2013-02아원수치적급성감염성안내염환자23례23안림상자료,배제반유구내이물적병례。소유환자균채용상규폐합삼통도파리체절제연합규유전충수술,기중6안(병발외상성백내장)연합Ⅰ기정상체적제+Ⅰ기인공정상체식입술,3안(병발외상성백내장)연합Ⅰ기정상체절제+Ⅱ기인공정상체식입술,4안(규유전충기간병발백내장)연합Ⅱ기정상체적제+Ⅱ기인공정상체식입술,5안(4안외상성안내염급1안청광안려과포루치안내염)보류정상체,1안(백내장술후안내염)연합Ⅰ기인공정상체취출+Ⅱ기인공정상체식입,4안(백내장술후안내염)보류인공정상체。결과：수방6~24mo,행파리체절제연합규유전충수술적환자23례23안안내염균득도유효공제,21안(91%)환자시력불동정도제고。유2안파리체절제술후안압≥30mmHg,1안행규유취출술후안압회복정상,령1안취규유술후안압잉고,수응용강안압약물공제。 　　결론：급성감염성안내염환자급시행파리체절제연합규유전충수술치료,능유효공제안내염,제고환자시력。
AIM: To observe theclinical effect of acute infectious endophthalmitis by vitrectomy surgery with silicon oil tamponade. METHODS:The clinical data of 23 patients ( 23 eyes ) diagnosed with acute endophthalmitis in our hospital from January, 2008 to February, 2013 were retrospectively analyzed, excluding the patients with intraocular foreign body. All the patients were undergone routine closed three-channel vitrectomy with silicon oil, including 6 eyes ( complicated with traumatic cataract ) with Ⅰ lensectomy and Ⅰ intraocular lens ( IOL) implantation, 3 eyes ( complicated with traumatic cataract) with Ⅰ lensectomy and II IOL implantation, 4 eyes ( complicated with cataract during silicon oil tamponade ) with II lensectomy and II IOL implantation, 5 eyes ( 4 eyes with traumatic endophthalmitis and 1 eye with entophthalmia caused by glaucoma filtering bleb leaking ) reserved lens, 1 eye ( post - cataract surgery entophthalmia ) with Ⅰ IOL explantation and II IOL implantation, and 4 eyes ( post-cataract surgery entophthalmia) reserved lens. RESULTS:Within follow-up 6 ~ 24mo, inflammation after vitrectomy surgery with silicon oil tamponade was controlled in all the 23 patients ( 23 eyes ) . Final visual acuity was improved in 21 eyes ( 91%) . The intraocular pressure (IOP) of 2 eyes were over 30mmHg. IOP of 1 eye was controlled after silicon oil removed, and IOP of the other eye after silcon oil extraction was still high and needed to be controlled by IOP lowering drugs. CONCLUSION: The patients of acuteinfectious endophthalmitis should undergo vitrectomy with silicon oil tamponade as early as possible, which can effectively controli endophthalmitis and improve visual acuity.