Ma Wen-Jiang, Zhang Hong, Zhao Shao-Zhen
Eye Centre, Tianjin Medical University, Tianjin 300070, China.
Int J Ophthalmol. 2011;4(1):100-2. doi: 10.3980/j.issn.2222-3959.2011.01.23. Epub 2011 Feb 18.
To analyze the lab diagnosis and etiology of infectious endophthalmitis.
The medical and microbial records of 36 patients diagnosed with infectious endophthalmitis and 8 patients diagnosed with intraocular lens (IOL)-related inflammation between Nov. 1999 and Dec. 2009 were retrospectively reviewed for lab diagnosis and etiology.
The inflammatory cell counts in all aqueous humor specimens from infectious endophthalmitis patients were more than in all aqueous humor specimens from patients with IOL-related inflammation. Sixteen of the 36 aqueous humor samples (44.4%) and 11 of the 24 vitreous humor samples (45.8%) from infectious endophthalmitis patients showed positive results in smears; while 17 aqueous humor samples (47.2%) and 15 vitreous humor samples (62.5%) from infectious endophthalmitis patients showed positive results in culture.
The inflammatory cell count may be an important index for infectious endophthalmitis; while, smears can show etiological information earlier.
分析感染性眼内炎的实验室诊断及病因。
回顾性分析1999年11月至2009年12月期间36例诊断为感染性眼内炎的患者以及8例诊断为人工晶状体(IOL)相关炎症的患者的医学及微生物学记录,以进行实验室诊断及病因分析。
感染性眼内炎患者所有房水样本中的炎症细胞计数均高于IOL相关炎症患者的所有房水样本。感染性眼内炎患者的36份房水样本中有16份(44.4%)以及24份玻璃体样本中有11份(45.8%)涂片呈阳性结果;而感染性眼内炎患者的17份房水样本(47.2%)以及15份玻璃体样本(62.5%)培养呈阳性结果。
炎症细胞计数可能是感染性眼内炎的一项重要指标;而涂片可更早显示病因信息。