双眼先天性白内障术后急性眼内炎1例
摘要
白内障能导致婴幼儿失明或弱视,是一种严重的致盲疾病,严重影响儿童的视力发育,失明儿童中有22%～30%为白内障所致,已成为儿童失明的第二位原因。婴幼儿白内障主要症状为白瞳症。其中最常见的即是先天性白内障,不完全性白内障则常常以视力低下、斜视、眼球震颤等异常就诊。白内障摘除术是治疗先天性白内障的有效手术方法,而手术并发症仍不容小视,白内障术后急性眼内炎便是白内障手术最严重的并发症之一,可严重损害患者的视功能。本文笔者报道了邯郸市眼科医院白内障科2018年2月15日收治的一例8月龄双眼先天性白内障患儿的行白内障摘除+后囊膜环形撕除+前玻切术、术后并发急性眼内炎的临床诊疗情况,具体如下。
引文
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[8]中华医学会眼科学分会白内障及人工晶状体学组.我国白内障摘除手术后感染性眼内炎防治专家共识(2017年)[J].中华眼科杂志,2017,53(11):810-813.
[2]张志.白内障手术中灌注液加入妥布霉素注射液对术后眼内炎发生率的影响[J].中国老年学杂志,2016,36(11):2727-2728.
[3]Yamamoto M,Dogru M,Nakamura M,et al.Visual function following congenital cataract surgery[J].Japanese Journal of Ophthalmology,1998,42(5):411-416.
[4]马波,吴新华,罗敏.前房注射头孢呋辛预防白内障术后眼内炎的临床效果[J].眼科新进展,2016,36(7):637-639.
[5]Zhu Y,Chen X,Chen P,et al.The occurrence rate of acute-onset postoperative endophthalmitis after cataract surgery in Chinese small-and medium-scale departments of ophthalmology[J].Scientific Reports,2017,7(7):40776.
[6]Yao K,Zhu Y,Zhu Z,et al.The incidence of postoperative endophthalmitis after cataract surgery in China:a multicenter investigation of 2006-2011[J].British Journal of Ophthalmology,2013,97(10):1312-1317.
[7]Pijl BJ,Theelen T,Tilanus MA,et al.Acute endophthalmitis after cataract surgery:250 consecutive cases treated at a tertiary referral center in the Netherlands[J].American Journal of Ophthalmology,2010,149(3):482-487.
[8]中华医学会眼科学分会白内障及人工晶状体学组.我国白内障摘除手术后感染性眼内炎防治专家共识(2017年)[J].中华眼科杂志,2017,53(11):810-813.