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目的：总结玻璃体手术后化脓性眼内炎的发生率、临床特点、治疗及预后。方法：收集１９８７～１９９８年因各种原因引起玻璃体混浊、复杂性视网膜脱离而进行玻璃体手术（不包括穿孔性眼外伤或眼内炎病例），术后经过临床或培养而证实为化脓性眼内炎病例。结果：符合标准者共４６１０例，其中３例术后发生化脓性眼内炎，发生率为０６５‰。１例培养出葡萄球菌和霍米奇肠杆菌。分别在术后第６、８和１０天控制炎症。最终视力２例保留光感，１例００２，２例视网膜脱离未能复位，眼球萎缩。结论：玻璃体切除术后眼内炎发生罕见，但视力预后差，必须高度重视。
Objective: To summarize the incidence, clinical features, treatment and prognosis of suppurative endophthalmitis after vitrectomy. METHODS: Vitreous surgery (excluding perforation of ocular trauma or endophthalmitis) was performed for vitreous opacities and complex retinal detachment caused by various causes during 1987-1998. The patients were confirmed clinically as suppurative intraocular after surgery or by culture Inflammatory cases. Results: A total of 4610 patients were eligible, of which 3 cases of suppurative endophthalmitis occurred, the incidence was 0.65 ‰. One case of Staphylococcus aureus and Enterobacter aerogenes were cultured. Inflammation was controlled on days 6, 8 and 10 after surgery respectively. The final visual acuity in 2 cases to retain light perception, 1 cases 0 02, 2 cases of retinal detachment failed to reset, eye atrophy. Conclusions: Ocular endophthalmitis is rare after vitrectomy, but its visual acuity is poor, so it must be taken seriously.