外源性眼内炎的视力预后多因素分析

【摘要】 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。更多还原

【Abstract】 Objective To investigate clinical factors for the visual progression of exogenous endophthalmitis and to evaluate the outcomes of vitrectomy for endophthalmitis. Methods 69 patients (69 eyes), diagnosed as exogenous endophthalmitits were retrospective analysised. Correlation between the visual progression of exogenous endophthalmitis and some factors such as episode age, sex, progress, etiological factors, etiology outcomes, treatment history, intraocular tension and visual acuity before surgical treatment et al. Results Five factors were statistically significant, They are complicated cataract, lens removal, intraocular tension before surgical treatment, vasculitis and visual acuity after 1 week, Complicated cataract P=0.045, wald value is 1.616; Vasculitis P=0.086, wald value is 3.654; lens removal P=0.007, wald value is 3.987; intraocular tension before surgical treatment P=0.035, wald value is 2.574; visual acuity after 1 week P=0.001, wald value is 3.668. Conclusion Patients with complicated cataract have better visual progression. But aphakic patients and patients with vasculitis have no optimistic visual progression. Visual acuity after 1 week is a marker for the long-term visual progression of exogenous endophthalmitis. Vitrectomy is a good method for the treatment of endophthalmitis.更多还原