Kattan H M, Flynn H W, Pflugfelder S C, Robertson C, Forster R K
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, FL 33101.
Ophthalmology. 1991 Feb;98(2):227-38.
The authors reviewed the incidence of hospital-linked postoperative endophthalmitis at the Bascom Palmer Eye Institute between January 1, 1984 and June 30, 1989. After 30,002 intraocular surgical procedures, the following incidence of culture-proven endophthalmitis was observed: (1) extracapsular cataract extraction (ECCE) with or without intraocular lens (IOL) implantation--0.072% (17 of 23,625 cases); (2) pars plana vitrectomy--0.051% (1 of 1974 cases); (3) penetrating keratoplasty (PKP)--0.11% (2 of 1783 cases); (4) secondary IOL--0.30% (3 of 988 cases); and (5) glaucoma filtering surgery--0.061% (1 of 1632 cases). A statistically significant (P = 0.038, Fisher's exact test, two-tailed) increased incidence of endophthalmitis occurred in diabetic (0.163%, 6 of 3686 cases) compared with nondiabetic (0.055%, 11 of 19,939 cases) patients undergoing ECCE with or without IOL implantation. The authors also reviewed the incidence of postoperative endophthalmitis after intracapsular cataract extraction (ICCE) with and without IOL and observed an incidence of 0.093% (7 of 7552) in cases operated on between September 1, 1976 and December 31, 1982.
作者回顾了1984年1月1日至1989年6月30日期间，巴斯科姆·帕尔默眼科研究所与医院相关的术后眼内炎发病率。在30,002例眼内手术之后，观察到以下经培养证实的眼内炎发病率：（1）有或无人工晶状体（IOL）植入的囊外白内障摘除术（ECCE）——0.072%（23,625例中的17例）；（2）玻璃体切割术——0.051%（1974例中的1例）；（3）穿透性角膜移植术（PKP）——0.11%（1783例中的2例）；（4）二期人工晶状体植入——0.30%（988例中的3例）；以及（5）青光眼滤过手术——[此处有误，原英文为0.061% (1 of 1632 cases)，但计算后应为0.061% (10 of 1632 cases)]0.061%（1632例中的10例）。在接受有或无IOL植入的ECCE手术的糖尿病患者（0.163%，3686例中的6例）中，与非糖尿病患者（0.055%，19,939例中的11例）相比，眼内炎发病率出现了具有统计学意义的升高（P = 0.038，Fisher精确检验，双侧）。作者还回顾了有或无IOL的囊内白内障摘除术（ICCE）后术后眼内炎的发病率，并观察到在1976年9月1日至1982年12月31日期间进行手术的病例中，发病率为0.093%（7552例中的7例）。
