内眼手术后真菌性眼内炎的临床及预后分析.pdfVIP

眼科研究 20lO年6月第 28卷第 6期 527 · 临 床 研 究 · 内眼手术后真菌性眼内炎的临床及预后分析 柳晓辉 李永平 丁运刚 李燕 王丽丽 刘辉 Analysisofclinicalandprognosisoffungalendophthalm itisfollowingsurgery LIUXiao—hui，LIYong-ping，DING Yun—gang，LIYah，WANG Li—li，LIU Hui．StateKey Laboratoryof Ophthalmology，ZhongshanovhthalmicCenter，SunYat—senUniversity，Guangzhou510060，China Abstract Background Research showed thatthe incidence offungalend。phthalmitisafter intraocular surgery in end。phthalmitisis8．6％ 一18．6％．Fungalendophthalmitishasanextremelydangeroo．sconsequence． 0bjective Thisstudy wastodescribetheclinicalfeaturesandpathologicalfindingsinpostoperativefungalend。phthalmitisinninepatients． M ethods Nineeyesof9 easeswith thefungalend。phthalmitisafterintraocularsurgery wereenrolled in thisstudy．Thepatientswere diagnosedbyB—type sonography，fungusculture and pathologicalexamination．Theclinicalfeatures，therapeutic surgery and outcomeswereanalyzed． Results Fungalend0phthalmitiswasdiagnosed inninepatientsby collecting thevitreoushumor， aqueoushumororvitreousbiopsy specimens． Thepositiveresultsoffungusforbiopsy，smear andculturewerefound in four patients，andforsmearorbiopsy in threepatientsandofrculturein twocases．In the9 patientswith fungalend。phthalmitis， aspergillusfumigatusinfection wasin 3 patientsand fusarium ventrieosam infection in 1patient，mueorinfection in 1patient， fusarium equisetiinfection in 1patient．Theeyeballswereenucleated in 6patients，and 1patientrefused to exenterate．The visualacuitywasimprovedorstableafteroperationin2patients． Conclusion Theunfavourableprognosisisfoundforfungal end0phthalmitisafterintraocularoperation，especiallyinAspergillusend。phthalmitis． Key words intraocularoperation；fungus；endophthalmiti 摘要 目的 分析 内眼手术后真菌性眼内炎患者的临床表现 、病理改变、治疗及预后 ，探讨影响患者预后 的相关因 素。 方法