感染性眼内炎的治疗

Management of infectious endophthalmitis.

作者信息

Forster R K, Abbott R L, Gelender H

出版信息

Ophthalmology. 1980 Apr;87(4):313-9. doi: 10.1016/s0161-6420(80)35241-x.

Abstract

Diagnostic anterior chamber and vitreous aspiration confirmed an infectious etiology in 78 of 140 eyes (56%) with suspected endophthalmitis. In 27 eyes the vitreous aspirate was positive, while the anterior chamber aspirate was negative. Intraocular antibiotics were used in 88 eyes including 50 which underwent therapeutic vitrectomy. Vision of 20/20 to 20/400 was achieved in 57% of recently operated, culture-positive eyes treated with intraocular antibiotics, and in 59% of those treated with combined vitrectomy and intraocular antibiotics.

摘要

诊断性前房和玻璃体穿刺抽吸术证实，在140只疑似眼内炎的眼睛中，有78只（56%）存在感染病因。27只眼睛的玻璃体抽吸物呈阳性，而前房抽吸物呈阴性。88只眼睛使用了眼内抗生素，其中50只接受了治疗性玻璃体切除术。在近期接受手术、培养结果呈阳性且接受眼内抗生素治疗的眼睛中，57%的患者视力达到20/20至20/400；在接受玻璃体切除术联合眼内抗生素治疗的患者中，这一比例为59%。