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目的研究行玻璃体切割术治疗外源性眼内炎视力预后的相关因素。方法回顾性分析行玻璃体切割术治疗外源性眼内炎患者69例69眼。对年龄、性别、病因、病原学检查结果、既往治疗史、治疗前眼压情况、视力情况及手术治疗等因素与半年后视力预后行多因素分析。结果并发性白内障、是否行晶体摘除、手术前眼压和是否合并血管炎、术后1w视力等因素被认为是与外源性眼内炎患者视力远期预后密切相关的因素。并发性白内障p=0.045,wald值为1.616;血管炎p=0.086,wald值为3.654;是否行晶体摘除p=0.007,wald值为3.987;手术前眼压p=0.035,wald值为2.574;术后1w视力p=0.001,wald值为3.668。结论有并发性白内障患者手术后脱残率较高。而行晶体摘除和合并血管炎者视力远期预后较差。术后1w视力基本反应了半年以上随访的最终视力。对于诊断明确的眼内炎及早行全玻璃体切除术。
Objective To study the correlative factors of vitrectomy for visual prognosis of exogenous endophthalmitis. Methods A retrospective analysis of 69 cases with exogenous endophthalmitis in 69 cases underwent vitrectomy. Age, sex, etiology, etiological examination results, previous treatment history, pretreatment IOP, visual acuity and surgical treatment and other factors and six months after the prognosis of visual acuity multi-factor analysis. Results of complicated cataract, whether the crystal removal, preoperative intraocular pressure and whether the merger of vasculitis, visual acuity and other factors after 1w is considered exogenous endophthalmitis in patients with long-term prognosis of vision is closely related to factors. With cataract p = 0.045, wald value of 1.616; vasculitis p = 0.086, wald value of 3.654; whether the crystal removal p = 0.007, wald value of 3.987; preoperative IOP p = 0.035, wald value of 2.574; After 1w visual acuity p = 0.001, wald value of 3.668. Conclusions Patients with concomitant cataract have higher disability after surgery. The line crystal removal and vasculitis with poor long-term prognosis. Visual acuity after 1w basically reflected the final visual acuity of more than half a year. For diagnosed endophthalmitis and early full-vitrectomy.