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目的 评估玻璃体切割术对外伤性感染性眼内炎的治疗效果。方法 对 1 7例 (1 7眼 )眼内炎患者行玻璃体切割手术(大多数患者同时晶体切除 ) ,术中结合庆大霉素玻璃体腔灌注。结果 2例因视网膜坏死术中即行眼内容物剜出术 ,植入义眼胎。其余 1 5例随访 1周至 6月 ,视力在 0 0 4～ 0 0 6 8例 ,0 1～ 0 2 5例 ,0 5～ 1 0 2例。结论 玻璃体切割术能迅速有效地治疗眼内炎 ,促进病情恢复 ,避免视网膜脓疡、玻璃体机化、牵引性视网膜脱离 ,甚至严重的全眼球炎的发生。玻璃体切割治疗外伤性感染性眼内炎是最佳治疗方案 ,及时诊断 ,及时治疗是治疗的关键 ,与患者病情的预后密切相关
Objective To evaluate the therapeutic effect of vitrectomy on traumatic endophthalmitis. Methods A total of 17 patients (17 eyes) with endophthalmitis underwent vitrectomy (most patients underwent simultaneous vitrectomy) with intravitreal injection of gentamicin. Results 2 cases due to retinal necrosis that intraocular content of surgery, implantation of fetal eye. The remaining 15 cases were followed up for 1 week to 6 months, visual acuity in 0 0 4 ~ 0 0 68 cases, 0 1 ~ 0 25 cases, 0 5 ~ 102 cases. Conclusions Vitrectomy can treat endophthalmitis rapidly and effectively, promote the recovery of the disease, avoid the occurrence of retinal abscess, vitreous organism, traction retinal detachment and even severe all-eye inflammation. Vitrectomy treatment of traumatic endophthalmitis is the best treatment, timely diagnosis and timely treatment is the key to treatment, and the prognosis of patients with the disease are closely related