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目的探讨球内异物致化脓性眼内炎的有效治疗途径。方法对10例球内异物致化脓性眼内炎患者,作经睫状体平坦部玻璃体切割(PPV)+球内异物取出术同时联合药物治疗(术中灌注液内加入抗生素),观察术后前房积脓、房水闪辉、B超、眼底、视力的变化情况。结果所有患者术后前房积脓、房水闪辉、玻璃体混浊声像(B超)均消失,视网膜平伏,视力较术前提高。结论PPV手术联合药物治疗是治疗球内异物致外伤性化脓性眼内炎的有效手段。
Objective To investigate the effective treatment of suppurative endophthalmitis caused by foreign body in the ball. Methods Ten patients with suppurative endophthalmitis due to intracranial foreign bodies were treated with vitrectomy (PPV) plus intracapsular foreign body extraction combined with medical treatment (intraoperative infusion of antibiotics). The postoperative Empyema empyema, aqueous shine, B ultrasound, fundus, visual changes. Results All patients had empyema, aqueous humor, vitreous opacity (B ultrasound) disappeared, retinal equatorial visual acuity was improved compared with preoperative. Conclusion PPV combined with medical therapy is an effective method to treat traumatic suppurative endophthalmitis caused by foreign body in the ball.