| 目的：分析、总结人工晶状体植入术后细菌性眼内炎的临床特点、危险因素及治疗方法。方法：回顾性分析1999至2005年间天津医科大学眼科中心收治的8例（8眼）人工晶状体植入术后细菌性眼内炎患者的临床资料。结果：7眼行房水和（或）玻璃体病原学检查，6眼培养阳性，培养阳性率为86%，3例为表皮葡萄球菌。全身及局部的广谱抗生素治疗或联合早期玻璃体切除可有效控制感染，7眼眼内炎症得到控制，4只眼视力达0.12~0.5。结论: 表皮葡萄球菌是人工晶状体植入术后细菌性眼内炎的主要致病菌，早期玻璃体切割联合玻璃体腔内注入适量广谱抗生素是目前安全、有效的治疗方法。
Objective To evaluate the clinical characteristics, risk factors and treatment methods of bacterial endophthalmitis after IOL implantation. Methods The medical records of all patients (8 cases) with infective endophthalmitis after IOL implantation treated at Tianjin Medical University Eye Centre From 1999 to 2005 were reviewed retrospectively．Results Microbiological examination was performed in 7 cases(aqueous or vireous sample)，6 cases showed positive results(86% )，including 3 cases of staphylococcus epidermidis(50%). After the treatment．the vision 0f 4 patients was recovered to 0.12~0.5, enucleation was performed in 1 cases and atrophy of eyeballs occurred in 2 cases．Conclusions The main pathogen of bacterial endophthalmitis after IOL implantation is staphylococcus epidermidis．Intravitreal injection and vitrectomy is a kind of safe and effective method for bacterial endophthalmitis after IOL implantation. |
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