Abi-Ayad N, Gambrelle J, Duquesne N, Fleury J, Grange J D, Kodjikian L
Service d'Ophtalmologie, CHU de Lyon, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.
J Fr Ophtalmol. 2007 Apr;30(4):397-402. doi: 10.1016/s0181-5512(07)89610-0.
The aim of this retrospective study was to analyze incidence, microorganisms, and final visual acuity after pars plana vitrectomy.
Data on all patients with endophthalmitis after pars plana vitrectomy performed at Croix-Rousse Hospital, Lyon, France, between 1994 and 2004 were analyzed.
Among 1632 posterior vitrectomies done over an 11-year period, 14 cases of endophthalmitis occurred (0.86%). Half of the patients were diabetic with poor glycemic control. The most frequent microorganism was negative coagulase Staphylococcus. One case of Bacillus cereus was noted. On the whole, visual prognosis was poor: final visual acuity never exceeded 20/200 in the best cases. The final visual acuity depended on the initial pathology requiring vitrectomy. One eye was enucleated because of phthisis.
Historically, the incidence of endophthalmitis after vitrectomy is approximately 0.05%. It was higher in our series probably because of the high number of diabetic patients with poor glycemic control. Final visual acuity after pars plana vitrectomy in current series is low. Nevertheless it must be compared with the visual acuity before the vitrectomy because it depends greatly on the causal pathology which is very disabling.
Endophthalmitis after pars plana vitrectomy is a serious complication. Prophylaxis is still the best treatment.
本回顾性研究的目的是分析玻璃体切割术后眼内炎的发生率、微生物种类及最终视力。
对1994年至2004年期间在法国里昂红十字医院接受玻璃体切割术后发生眼内炎的所有患者的数据进行分析。
在11年期间进行的1632例玻璃体切割术中，发生了14例眼内炎（0.86%）。一半的患者患有糖尿病且血糖控制不佳。最常见的微生物是凝固酶阴性葡萄球菌。记录到1例蜡样芽孢杆菌感染。总体而言，视力预后较差：最佳情况下最终视力从未超过20/200。最终视力取决于需要进行玻璃体切割术的初始病变。1只眼因眼球痨而被摘除。
从历史上看,玻璃体切割术后眼内炎的发生率约为0.05%。在我们的系列研究中发生率较高，可能是因为血糖控制不佳的糖尿病患者数量较多。本系列研究中玻璃体切割术后的最终视力较低。然而，必须将其与玻璃体切割术前的视力进行比较，因为它在很大程度上取决于导致视力严重受损的病因。
玻璃体切割术后眼内炎是一种严重的并发症。预防仍然是最佳治疗方法。
