分析 23G 经睫状体平坦部玻璃体切除术治疗术后眼内炎导致的视网膜脱离。
Analysis of retinal detachment resulted from post-operative endophthalmitis treated with 23G pars Plana Vitrectomy.
机构信息
Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Ophthalmology, Shanghai General Hospital Affiliated to Shanghai Jiaotong University, 100 Haining Road, Shanghai, 200080, China.
出版信息
BMC Ophthalmol. 2021 Dec 1;21(1):414. doi: 10.1186/s12886-021-02175-z.
BACKGROUND
To evaluate the rate, risk factors, functional outcome and prognosis in eyes with retinal detachment after post-operative endophthalmitis treated with 23G Pars Plana Vitrectomy.
METHODS
Electronic patient files from 2009 until 2018 were screened for the presence of an endophthalmitis. Included were 116 eyes of 116 patients. This population was evaluated for the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis following cataract surgery or intravitreal injection. The main outcome measures were retinal detachment and visual acuity.
RESULTS
The reasons for endophthalmitis were previous cataract surgery in 78 patients and following intravitreal injection in 38 patients. The first clinical evidence of endophthalmitis was present in median 5 days after the triggering intervention. Twenty-five eyes (21.55%) developed a retinal detachment an average of 25 days after endophthalmitis. RD is significantly associated with preoperative visual acuity (p = 0.001).
CONCLUSIONS
We emphasize the prognostic role of preoperative visual acuity in RD development of the endophthalmitis treated with 23G Pars Plana Vitrectomy.
背景
评估 23G 经睫状体平坦部玻璃体切除术治疗术后眼内炎性视网膜脱离的发生率、危险因素、功能结局和预后。
方法
筛选 2009 年至 2018 年的电子患者档案，以确定是否存在眼内炎。共纳入 116 例 116 只眼的患者。对这一人群进行评估，以确定 23G 经睫状体平坦部玻璃体切除术治疗白内障手术后或眼内注射后眼内炎性视网膜脱离的发生率。主要观察指标为视网膜脱离和视力。
结果
78 例患者眼内炎的原因为既往白内障手术，38 例患者为眼内注射。内眼炎的首次临床证据出现在触发干预后的中位数 5 天。25 只眼（21.55%）在眼内炎发生后平均 25 天出现视网膜脱离。RD 与术前视力显著相关（p=0.001）。
结论
我们强调 23G 经睫状体平坦部玻璃体切除术治疗眼内炎性视网膜脱离的术前视力对预后的预测作用。
Zotero 插件