Davis R M, Rowsey J J, Jensen H G
Department of Ophthalmology, University of Oklahoma, Dean A. McGee Eye Institute, Oklahoma City, Oklahoma 73104.
Ophthalmic Surg. 1987 Sep;18(9):683-6.
We present two cases illustrating a surgical approach to the diagnosis and treatment of infectious endophthalmitis following extracapsular cataract extraction with insertion of a posterior chamber lens. In both cases, a vitrectomy was initiated through a limbal approach after clearing the anterior chamber, thus allowing improved visualization of the vitreous cavity. The vitrectomy probe was then passed through a peripheral iridotomy, the peripheral posterior capsule and/or zonules, and into the anterior vitreous. The peripheral iridotomy allowed access to the vitreous cavity for an anterior vitrectomy. The entire anterior chamber and vitreous aspirate was then analyzed for culture and sensitivity. This technique minimizes the risks of pars plana vitrectomy for endophthalmitis by improving visualization and possibly decreasing the risk of retinal detachment.
我们介绍两例病例，阐述了一种用于诊断和治疗白内障囊外摘除联合后房型人工晶状体植入术后感染性眼内炎的手术方法。在这两例病例中，在前房清理后，通过角膜缘入路开始进行玻璃体切割术，从而改善了玻璃体腔的可视化。然后将玻璃体切割探头通过周边虹膜切开术、周边后囊膜和/或悬韧带，进入前部玻璃体。周边虹膜切开术为前部玻璃体切割提供了进入玻璃体腔的通道。然后对整个前房和玻璃体吸出物进行培养和药敏分析。该技术通过改善可视化并可能降低视网膜脱离的风险，将玻璃体切除治疗眼内炎的风险降至最低。
