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目的 探讨化脓性眼内炎的最佳治疗措施及时机。方法 回顾性分析化脓性眼内炎 41例 41眼 ,其中抗生素、皮质类固醇治疗联合玻璃体切除术 2 3眼 ,眼球摘除 6眼 ,单用抗生素皮质类固醇治疗 12眼。结果 抗生素皮质类固醇治疗联合玻璃体切除术治疗的 2 3眼中 ,术后视力 0 1～ 0 7者 9眼。单用抗生素皮质类固醇治疗的 12眼中 ,视力 0 4、0 7各 1眼。结论 眼内炎一旦确诊 ,即全身及局部应用广谱抗生素及皮质类固醇 ,一旦角膜及前房条件好转 ,及时行玻璃体切除术 ,可提高治疗效果及手术成功率。
Objective To investigate the best treatment and timing of suppurative endophthalmitis. Methods Retrospective analysis of 41 cases of 41 cases of suppurative endophthalmitis, of which antibiotics, corticosteroids combined with vitrectomy 23 eyes, 6 cases of enucleation, single antibiotic corticosteroid treatment of 12 eyes. Results Among the 23 eyes treated with antibiotic corticosteroid therapy and vitrectomy, the visual acuity of 0 1 ~ 0 7 was 9 eyes. Of the 12 eyes treated with antibiotic corticosteroids alone, one eye each had a visual acuity of 0.047. Conclusions Once the diagnosis of endophthalmitis, that is, systemic and topical application of broad-spectrum antibiotics and corticosteroids, once the corneal and anterior chamber conditions improved, timely vitrectomy can improve the therapeutic effect and success rate of surgery.