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眼内炎视力预后不良的相关因素。

Factors associated with a poor visual result in endophthalmitis.

作者信息

Bohigian G M, Olk R J

出版信息

Am J Ophthalmol. 1986 Mar 15;101(3):332-41. doi: 10.1016/0002-9394(86)90829-9.

DOI:10.1016/0002-9394(86)90829-9
PMID:3485382
Abstract

In a retrospective study of 82 cases of endophthalmitis treated between 1976 and 1982 at Barnes Hospital-Washington University, St. Louis, Missouri, 51 (62%) cases were culture-proven. Forty-nine (60%) were associated with cataract extraction, 16 cases (20%) were associated with trauma, and 17 cases (20%) were associated with other events. Sixty-four patients (78%) had undergone neither anterior chamber nor vitreous paracentesis before referral. Seventeen of the 51 culture-proven cases were initially thought to be sterile inflammatory responses and not infectious by the referring ophthalmologist. A poor visual result (visual acuity of less than 20/400) was associated with positive cultures, accidental trauma, virulent organisms, poor initial visual acuity, or a combination of these.

摘要

在对1976年至1982年间于密苏里州圣路易斯市华盛顿大学巴恩斯医院接受治疗的82例眼内炎病例进行的回顾性研究中,51例(62%)经培养证实。49例(60%)与白内障摘除有关,16例(20%)与外伤有关,17例(20%)与其他事件有关。64例患者(78%)在转诊前未进行前房或玻璃体穿刺术。在51例经培养证实的病例中,有17例最初被转诊眼科医生认为是无菌性炎症反应而非感染。视力不佳(视力低于20/400)与培养阳性、意外创伤、毒性强的病原体、初始视力差或这些因素的组合有关。

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