Chen L S, Chen J Q, Gong X M, Feng C M
Yan Ke Xue Bao. 1989 Dec;5(3-4):89-91.
Keratoplasty was performed on 3482 eyes from 1965 to 1986 in our hospital. Five eyes (0.14%) were infected in the early postoperative period. Two eyes had endophthalmitis. These seven eyes were operated on again and with local and systemic antibiotics treated as well. Followed up for 36 days to 7 years, six eyes remained safe (5 eyes transparent and 1 eye semi-transparent.) The visual acuity reached 0.3 in two eyes, 0.2 in one eye and finger counting to 0.1 in three eyes. The seventh eye was enucleated because of serious infection. Several factors of infection in the early postoperative period following keratoplasty, causative organisms, the relations between the types of operation in the early postoperative period following keratoplasty were also discussed.
1965年至1986年期间,我院对3482只眼实施了角膜移植术。术后早期有5只眼(0.14%)发生感染。其中2只眼发生了眼内炎。这7只眼均再次接受手术,并给予局部及全身抗生素治疗。随访36天至7年,6只眼情况良好(5只眼透明,1只眼半透明)。2只眼视力达到0.3,1只眼视力为0.2,3只眼指数为0.1。第7只眼因严重感染而被摘除。文中还讨论了角膜移植术后早期感染的几个因素、致病微生物以及角膜移植术后早期手术方式之间的关系。