摘要
探讨青光眼术后滤过泡感染引起眼内炎的危险因素及其防治方法。回顾性分析甘肃宝石花医院2018年2月收治的1例青光眼术后滤过泡感染引起眼内炎患者的致病因素及防治效果。给予局部妥布霉素地塞米松滴眼液、左氧氟沙星眼液、双氯芬酸钠眼液频点左眼。结膜下注射散瞳合剂。给予甘露醇、布林佐胺、卡替洛尔降眼压。全身给予头孢唑林钠+地塞米松抗感染及抗炎治疗。手术后第7天,病情痊愈,患者出院后继续局部用药。结果表明,保守治疗、玻璃体切除术和滤过泡修补术能有效控制青光眼术后滤过泡感染。薄壁滤过泡是青光眼术后迟发性眼内炎的主要危险因素,应及时采取保守治疗、玻璃体切除术或滤过泡修补术治疗。
The paper explores the risk factors of entophthalmia caused by filtering belb infection after glaucoma operation and its prevention and control method,and retrospectively analyzes the pathogenic factors and prevention and control effect of 1 patient with entophthalmia caused by filtering belb infection after glaucoma operation in Feb.2018 in Gansu Gem Flower Hospital.Tobramycin hexadecadrol,levofloxacin and diclofenac sodium eye drops were frequently used in part left eye.Mydriasis mixture was injected subconjunctivally.Mannitol,brinzolamide and carteolol were used to reduce intraocular pressure.Cefazolin sodium+dexamethasone and anti-inflammatory treatment was used on the whole body.7 days after operation,the disease was cured,and the patient took medicine locally after discharge.Conservative treatment vitrectomy and filtering bleb neoplasty can effectively control filtering bleb infection after glaucoma operation.Thin-wall filtering bleb is the main risk factor of tardive entrophthalmia after glaucoma.Conservative treatment,vitrectomy or filtering bleb neoplasty should be done timely.
作者
张迁
Zhang Qian(Gansu Gem Flower Hospital, Lanzhou 730000, China)
出处
《黑龙江科学》
2020年第16期54-55,共2页
Heilongjiang Science
关键词
青光眼
滤过泡感染
眼内炎
玻璃体切除术
滤过泡修补术
Glaucoma
Filtering bleb infection
Entophthalmia
Vitrectomy
Filtering bleb neoplasty
