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硅油填充眼内炎的管理

Management of endophthalmitis in a silicone oil-filled eye.

作者信息

Zimmer-Galler I E, Santos A, Haller J A, Campochiaro P A

机构信息

Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

出版信息

Retina. 1997;17(6):507-9. doi: 10.1097/00006982-199706000-00004.

DOI:10.1097/00006982-199706000-00004
PMID:9428013
Abstract

PURPOSE

To describe the management of endophthalmitis in an eye filled with silicone oil for prolonged internal retinal tamponade.

METHODS

A patient with a silicone oil-filled eye developed endophthalmitis postoperatively. Results of clinical examination, diagnostic procedures, and surgical management are described.

RESULTS

Removal of the silicone oil, injection of antibiotics into the fluid-filled vitreous cavity, and reinjection of silicone oil resulted in resolution of the endophthalmitis and improvement in vision.

CONCLUSIONS

Aggressive management of endophthalmitis in an eye requiring silicone oil tamponade may salvage useful vision.

摘要

目的

描述在因长期视网膜内填塞而充满硅油的眼中眼内炎的处理方法。

方法

一名眼内充满硅油的患者术后发生眼内炎。描述了临床检查、诊断程序及手术处理的结果。

结果

取出硅油、向充满液体的玻璃体腔注射抗生素并重新注入硅油,使眼内炎消退且视力改善。

结论

对需要硅油填塞的眼内炎进行积极处理可能挽救有用视力。

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