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[摘要]
目的：探讨白内障术后眼内炎行玻璃体切除术的时机和疗效。
方法：收集我院2003-07/2011-12的17例白内障超声乳化术后眼内炎患者行后段玻璃体切除的临床资料，男11例，女6例，术前视力：光感～0.1，治疗前常规抽取玻璃体送细菌、真菌培养加药物敏感试验。后段玻璃体切除手术后全身应用广谱抗生素及糖皮质激素治疗，随访3～24mo观察眼视力及眼部情况。
结果：随访3～24mo，炎症无复发，末期随访眼部无炎症表现，玻璃体腔清亮。术后最佳矫正视力：0.02～0.05者6例， 0.2～0.5者10例， 1.0者1例。视力得到一定程度的恢复。
结论：白内障超声乳化术后眼内炎行玻璃体切除能有效控制感染，确诊后立即行玻璃体手术是取得良好效果的关键。
[Key word]
[Abstract]
AIM: To evaluate the clinical effects of vitrectomy in treating infectious endophthalmitis after cataract surgery.
METHODS: Totally 17 cases(17 eyes)suffered from infectious endophthalmitis after cataract surgery were analyzed retrospectively, endophthalmitis were treated with vitrectomy, postoperative follow-up of 3 months to 24 months.
RESULTS: After vitrectomy, intraocular infection of 17 cases was controlled, the vision improved at different degree, and all the eyeballs were saved.
CONCLUSION: Timely vitrectomy is a kind of effective and safe method for the endophthalmitis after cataract surgery.
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