Dacey M P, Valencia M, Lee M B, Dugel P U, Ober R R, Green R L, Lopez P F
Doheny Eye Institute, University of Southern California School of Medicine, Los Angeles.
Arch Ophthalmol. 1994 Oct;112(10):1325-33. doi: 10.1001/archopht.1994.01090220075026.
To correlate the initial echographic findings in eyes with infectious endophthalmitis with the visual prognosis and causative microorganism.
A retrospective review of the clinical and standardized ocular echographic findings in eyes with infectious endophthalmitis was performed.
University-based ophthalmology department.
One hundred thirty-seven eyes (136 patients) with infectious endophthalmitis that were evaluated by the ocular echography service of the Doheny Eye Institute, Los Angeles, Calif, between January 1, 1981, and December 31, 1992.
Four findings on initial echography were associated with poor initial vision: dense vitreous opacities, retinal detachment, macular detachment, and choroidal detachment. Five findings on initial echography correlated with poor final vision: dense vitreous opacities, vitreous membranes, the presence of retinal detachment, the extent of retinal detachment, and the presence of choroidal detachment. Change (decrease) in vision during the follow-up period was associated with the presence of combined vitreous and subhyaloid opacities, retinal detachment, and choroidal detachment. All eyes with initially clear vitreous on ocular echography had either early streptococcal or culture-negative endophthalmitis. Advanced streptococcal endophthalmitis correlated with the most severe vitreous inflammation, vitreous membranes, and the most extensive posterior vitreous detachment, whereas gram-negative endophthalmitis correlated with choroidal detachment on initial echography. Stepwise logistic regression analysis revealed that the presence of choroidal detachment, not gram-negative microorganisms, was the principal predictor of poor visual outcome in these eyes.
Ocular echography is a useful method in the clinical evaluation and treatment of infectious endophthalmitis, especially in eyes with opaque media.
将感染性眼内炎患者眼部的初始超声检查结果与视觉预后及致病微生物进行关联分析。
对感染性眼内炎患者的临床及标准化眼部超声检查结果进行回顾性研究。
大学眼科部门。
1981年1月1日至1992年12月31日期间，加利福尼亚州洛杉矶多希尼眼科研究所眼部超声检查服务评估的137只眼（136例患者）感染性眼内炎。
初始超声检查的四项结果与初始视力差相关：浓密的玻璃体混浊、视网膜脱离、黄斑脱离和脉络膜脱离。初始超声检查的五项结果与最终视力差相关：浓密的玻璃体混浊、玻璃体膜、视网膜脱离的存在、视网膜脱离的范围以及脉络膜脱离的存在。随访期间视力变化（下降）与玻璃体和玻璃膜下混浊合并存在、视网膜脱离和脉络膜脱离相关。所有眼部超声检查初始玻璃体清晰的眼睛均患有早期链球菌性或培养阴性眼内炎。晚期链球菌性眼内炎与最严重的玻璃体炎症、玻璃体膜以及最广泛的玻璃体后脱离相关，而革兰阴性菌性眼内炎在初始超声检查时与脉络膜脱离相关。逐步逻辑回归分析显示，脉络膜脱离的存在而非革兰阴性微生物是这些眼睛视觉预后不良的主要预测因素。
眼部超声检查是感染性眼内炎临床评估和治疗中的一种有用方法，尤其是在介质混浊的眼睛中。
