| 摘要：
目的：评价玻璃体切除手术（PPV）与抗生素联合使用对内源性眼内炎的治疗效果。
方法：回顾分析了2003-2005年本院内源性眼内炎12例的玻璃体切除手术，以及术前和术后抗生素使用情况。
结果：12例中，发病前有高热者9人(75%)，病原确认或培养阳性为4例(33%)，全部病人接受了玻璃体切除手术联合抗生素治疗，5例给予玻璃体腔注药。手术后维持手动以上视力的有6人(50%)，2例最终眼球摘出(17%)。
结论：发热病人出现眼部症状时，应高度警惕出现眼内炎的可能，尤其是有糖尿病或接受创伤性操作的病人。玻璃体切除手术联合抗生素治疗，有助于保存病人的有用视力。
关键词：内源性，眼内炎，玻璃体切除，抗生素。
Absract:
Purpose: To investigate the role of pars plana vitrectormy (PPV) and antibiotic chemotherapy in the treatment of 12 eyes of endogenous endophthalmitis.
Methods: Records of 12 consecutive patients diagnosis with endogenous endophthalmitis were retrospectively reviewed and the outcome of treatment were evaluated.
Results: The patient’s ages ranged from 2-83 years, nine (75%) of all cases had high fever, only four (33%) of the 12 were culture positive, six (50%) eyes obtained FC or better acuity vision. Two eyes (17%) were enucleated finally.
Conclusion: various predisposing conditions could attribute the development of endogenous endophthalmitis, including TB, diabetic mellitus, et al. Physicians should be alert to patients of fever. PPV in conjunction with intravenous antibiotics plays an important role on preserve useful vision of patients suffered, antibiotics should be continued for at least 2-3 weeks or longer.
Key words: endogenous, endophthalmitis, pars plana vitrectormy (PPV), antibiotics
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