摘要
目的 探讨内源性真菌性眼内炎的临床特点和治疗效果.方法 对近5年来经玻璃体切除术治疗和病原学诊断的内源性真菌性眼内炎5例（5眼）的临床资料进行回顾性分析.结果 5例采用玻璃体切除术联合全身抗真菌药物治疗,感染控制,手术后视力4例提高,1例下降.术中采取玻璃体标本真菌培养5例均为阳性.结论 内源性真菌性眼内炎起病隐匿,危害视力严重.及时采取玻璃体切除术联合全身抗真菌药物治疗有助于病原诊断和控制感染.
Objective To investigate the clinical features and efficacy of treatment of endogenous fungal endophthalmitis. Methods Clinical data of 5 eyes of 5 cases with endogenous fungal endophthalmitis who were treated with vitrectomy were retrospectively reviewed. Results These 5 patients were treated by vitrectomy combined with systemic antifungal drugs. The infection was controled. The postoperative visual acuity was improved in 4 cases and decreased in 1 case. Of these 5 patients, the vitreous humor fungal cultures were all positive. Conclusion Endogenous fungal endophthalmitis has an occult onset and harms the vision seriously. Timely vitrectomy combined with systemic antifungal agents contributes to the pathogenetic diagnosis and controlling the infection.
出处
《中华眼外伤职业眼病杂志》
2014年第9期686-688,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
眼内炎
真菌性
内源性
特征
临床
玻璃体切除术
治疗
药物
抗真菌
Endophthalmitis, fungal, endogenous
Feature, clinical
Vitrectomy
Treatment,medicine, antifungal
