论文部分内容阅读
目的探讨应用眼内窥镜治疗屈光间质混浊的伴有眼内异物的眼内炎的效果。设计回顾性病例系列。研究对象8例角膜混浊的伴有眼内异物的眼内炎患者。方法对上述患者应用内窥镜引导行患眼玻璃体切除术,同时行眼内异物取出,7例眼内充填硅油。术后随诊3～12个月,观察患眼的视力及眼内炎的转归。主要指标视力、房水闪光、视网膜情况。结果在内窥镜引导下所有患者均成功取出异物。随诊期内所有患者角膜水肿消失,前房积脓及房水闪光消失,玻璃体腔清亮透明,眼内炎症得到有效控制。6例视力提高(光感～0.2),其中2例矫正视力≥0.1,2例术前术后视力无变化。所有患者均未发现视网膜脱离。结论内窥镜的应用扩大了玻璃体切除术的适应范围,不受角膜混浊的限制,及时对伴有眼内异物的眼内炎患者行玻璃体切除治疗,且有助于发现显微镜不能窥清区域的异物和病变。(眼科,2007,16:354-356)
Objective To investigate the effect of endoscopic treatment of endophthalmitis associated with intraocular foreign body in ophthalmologic opacity. Design retrospective case series. Study object 8 cases of corneal opacity accompanied by intraocular foreign body endophthalmitis patients. Methods The above-mentioned patients were instructed to perform endoscopic vitrectomy. At the same time, intraocular foreign bodies were removed and 7 eyes were filled with silicone oil. Follow-up postoperative 3 to 12 months, observed eyesight and endophthalmitis outcome. The main indicators of visual acuity, aqueous humor, retinal situation. Results All patients under the guidance of the endoscope successfully removed the foreign body. All patients with corneal edema disappear, empyema and aqueous humor disappear, the vitreous cavity is clear and transparent, and intraocular inflammation is effectively controlled. 6 cases of visual acuity (light perception ~ 0.2), 2 cases of corrected visual acuity ≥ 0.1, 2 cases of preoperative and postoperative visual acuity no change. No retinal detachment was found in all patients. Conclusions The application of endoscopy expands the scope of vitrectomy and is not limited by corneal opacity. Vitrectomy is performed in patients with endophthalmitis associated with intraocular foreign bodies in a timely manner and it is helpful to find out that the microscope can not see the area Foreign body and disease. (Ophthalmology, 2007,16: 354-356)