2001年至2012年白内障术后眼内炎病例特点及视力转归回顾分析

发布时间：2018-04-06 00:23

本文选题：白内障　切入点：眼内炎　出处：《北京大学学报(医学版)》2014年02期

【摘要】：目的:分析白内障术后眼内炎的临床特征、视力转归特点及影响因素。方法:收集本院眼科最近12年(2001年至2012年)白内障术后眼内炎的15例患者资料,总结疾病的发病率、发病时间、症状、临床体征、病原学特征等特点,分析病程中视力变化的规律以及影响本组病例视力转归的相关因素,以SPSS 14.0软件行统计学分析。结果:白内障术后眼内炎发病率为0.17%,平均发病时间23.8天(其中急性病例平均发病时间为6.0天),多数病例表现为严重的眼部炎症、眼部刺激征、视力下降。细菌培养阳性率为60%,均为G+菌(77%为表皮葡萄球菌)。经治疗后患者视力可有不同程度的提高,本组病例显示和视力转归有关的因素包括:白内障术后次日视力(r=0.746,P0.01)、眼内炎发病时就诊视力(r=0.667,P0.01)、术中后囊破裂(P0.05)、眼部刺激征(P0.05)等。结论:白内障术后眼内炎病例的视力转归受患者发生眼内炎后的视力情况、眼部症状是否严重、术中后囊是否破裂等因素的影响,相关病史可以对患者视力预后的判断提供参考信息。
[Abstract]:Objective: to analyze the clinical features, visual outcome and influencing factors of endophthalmitis after cataract surgery.Methods: the data of 15 patients with endophthalmitis after cataract surgery in our hospital for the last 12 years (2001 to 2012) were collected, and the incidence, onset time, symptoms, clinical signs and etiological characteristics of the disease were summarized.The changes of visual acuity in the course of disease and the related factors affecting the outcome of visual acuity in this group were analyzed by SPSS 14. 0 software.Results: the incidence of endophthalmitis after cataract operation was 0.17, and the average onset time was 23.8 days (the average onset time of acute cases was 6.0 days). Most of the cases showed severe ocular inflammation, ocular irritation and decreased visual acuity.The positive rate of bacterial culture was 60%, 77% of G bacteria were Staphylococcus epidermidis.After treatment, the visual acuity of the patients could be improved in varying degrees. The factors related to the outcome of visual acuity in this group included: visual acuity 0.746m P0.01g, visual acuity 0.667m P0.01m, posterior capsular rupture P0.05n, ocular irritation sign P0.05.Conclusion: the visual acuity of patients with endophthalmitis after cataract surgery is affected by the visual acuity after endophthalmitis, whether the ocular symptoms are serious or not, whether the posterior capsule is ruptured or not.The relevant medical history can provide reference information for the judgement of the visual prognosis of the patients.
【作者单位】：北京大学第一医院眼科;
【分类号】：R779.66

【共引文献】