间隔时间少于5天的双侧白内障手术分别进行后急性眼内炎的发生率。
Incidence of acute-onset endophthalmitis after separate bilateral cataract surgeries less than 5 days apart.
作者信息
Chen Ying, Zhang Yu, Li Xiaodan, Yan Hong
机构信息
Department of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Ophthalmology, Chongqing Eye Institute, Chongqing, 400016, China.
Department of Ophthalmology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
出版信息
BMC Ophthalmol. 2019 Jan 25;19(1):32. doi: 10.1186/s12886-019-1028-y.
PURPOSE
To assess the incidence of acute-onset endophthalmitis after separate bilateral cataract surgeries less than 5 days apart (SBCS5).
METHODS
The medical records of all patients who underwent SBCS5 at a single medical center between October 10, 2012 and July 31, 2017 were retrospectively reviewed.
RESULTS
The medical records for treatment of 5374 eyes of 2687 patients were examined. The mean interval between the first and second surgeries was 3 days. No case of bilateral simultaneous endophthalmitis was observed. Unilateral endophthalmitis developed in five eyes of five patients. Thus, the incidence of endophthalmitis after SBCS5 was 0.093%. All cases of endophthalmitis occurred in the first operated eye. SBCS5 was 15% less expensive than unilateral cataract surgery.
CONCLUSION
The incidence of endophthalmitis after SBCS5 was acceptably low with topical but not intracamaral antibiotic prophylaxis. SBCS5 was also less expensive than unilateral cataract surgery.
目的
评估间隔时间少于5天的双侧白内障手术（SBCS5）后急性眼内炎的发生率。
方法
回顾性分析2012年10月10日至2017年7月31日在单一医疗中心接受SBCS5的所有患者的病历。
结果
检查了2687例患者5374只眼的治疗病历。首次手术与第二次手术的平均间隔时间为3天。未观察到双侧同时发生眼内炎的病例。5例患者的5只眼发生了单眼眼内炎。因此，SBCS5后眼内炎的发生率为0.093%。所有眼内炎病例均发生在首次手术的眼睛。SBCS5比单侧白内障手术便宜15%。
结论
采用局部而非前房内抗生素预防时，SBCS5后眼内炎的发生率低至可接受水平。SBCS5也比单侧白内障手术便宜。
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