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目的观察玻璃体切除联合硅油填充术治疗无视网膜脱离的严重急性化脓性眼内炎的疗效。方法回顾性分析15例行玻璃体切除联合硅油填充术的不伴有视网膜脱离的严重急性化脓性眼内炎的病例资料,观察术后的视功能、感染控制及再次手术情况。结果随访3~18月,15眼感染全部控制,1眼在硅油取出后发生视网膜脱离,其余14眼视网膜保持在位无需再次手术。与术前相比,13眼视力提高,1眼视力不变,1眼眼球萎缩。结论玻璃体切除联合硅油填充术能有效稳定视网膜功能,控制炎症,减少再次手术创伤。
Objective To observe the curative effect of vitrectomy combined with silicone oil filling in the treatment of severe acute suppurative endophthalmitis without retinal detachment. Methods A retrospective analysis of 15 cases of severe acute suppurative endophthalmitis without vitreoretinal retinal detachment combined with silicone oil filling was performed. The postoperative visual function, infection control and reoperation were observed. Results All the patients were followed up for 3 ~ 18 months. Fifteen eyes were infected and all eyes were under control. One eye suffered from detachment of retinal detachment after silicone oil was removed. The other 14 eyes remained in place without reoperation. Compared with preoperative, 13 eyes increased vision, 1 unchanged eyesight, 1 eye atrophy. Conclusion Vitrectomy combined with silicone oil filling can effectively stabilize the retinal function, control inflammation and reduce the recurrence of surgical trauma.