目的:观察玻璃体切除联合玻璃体腔内注射万古霉素治疗眼内炎的疗效。方法:回顾性分析眼内炎患者30例30眼,观察其玻璃体细菌、真菌培养结果,经玻璃体切除后玻璃体腔内注射万古霉素,观察其眼部情况、最佳矫正视力及眼部并发症。结果:其中29眼(97%)控制了炎症,无视网膜脱离等眼底并发症,保留了眼球。1眼(3%)术后发展为全眼球炎而行眼球摘除。19眼(63%)视力比术前提高,7眼(23%)视力无变化,4眼(13%)视力比术前下降。结论:玻璃体切除联合玻璃体腔内注射万古霉素能够有效治疗眼内炎。

AIM:To observe the clinical effects of vitrectomy combined with intravitreal injection of vancomycin for endophthalmitis. ·METHODS:We carried out retrospective analysis of endophthalmitis in 30 cases 30 eyes. We observed the culture results of vitreous bacteria and fungi. All cases were injected vancomycin into vacuum vitreous after vitrectomy.We further observed the situation in the eyes,including the best-corrected visual acuity and complications. ·RESULTS:During the follow-up time,the endophthalmictis in 29 eyes (97%) were controlled without retinal complication. One case of 1 eye (3%) was panophthalmitis and removal of eye ball. Visual acuities of 19 eyes (63%) were improved,of 7 eyes(23%)were same,of 4 eyes(13%) were decreased. ·CONCLUSION:Vitrectomy combined with intravitreal injection of vancomycin is effective in treating endo-phthalmitis.

R779.6

中国辽宁省教育厅基金资助项目(No.20060994)~~