即时玻璃体切除术治疗手活动或更好视力的急性眼内炎。

Q3 Medicine
Korean Journal of Ophthalmology : KJO Pub Date : 2022-10-01 Epub Date: 2022-08-19 DOI:10.3341/kjo.2022.0014
Jaemin Kim, Hyoung Seok Kim, Su Jin Yoo, Moon Jung Choi, Youngju Lew, Jong Woo Kim, Han Joo Cho
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引用次数: 1

摘要

目的:探讨直接玻璃体切割术治疗手活动(HM)及以上视力患者急性眼内炎的疗效。方法:回顾性分析我院13年来收治的149例白内障术后急性眼内炎患者。仅包括VA至少为HM的患者。患者最初接受玻璃体切除术或玻璃体内单独注射抗生素治疗,并比较初始治疗后的视力结果和再干预率。结果:两组患者视觉效果良好(终VA≥20 / 40)和差(VA≤数指)的比例差异无统计学意义。然而,对92只眼的VA患者的亚组分析显示,及时玻璃体切除术后再干预发生率(72只眼中14只[19.4%]比20只眼中9只[45.0%])和视力不良发生率(72只眼中10只[13.9%]比20只眼中8只[40.0%])低于单纯玻璃体内注射抗生素(p = 0.019和p = 0.022)。对于那些VA至少有数指的人来说,两组之间没有明显的差异。结论:对于表现为眼内炎VA的HM患者,及时行玻璃体切除术比单独使用玻璃体内抗生素减少了再干预和视力不良的发生率。我们的研究结果表明,原发性玻璃体切除术可能比单纯玻璃体内注射抗生素更有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate Vitrectomy for Acute Endophthalmitis in Patients with a Visual Acuity of Hand Motion or Better.

Purpose: To determine the efficacy of immediate pars plana vitrectomy as the primary treatment for acute endophthalmitis in patients with a visual acuity (VA) of hand motion (HM) or better.

Methods: A total of 149 patients who were referred to a single center for acute endophthalmitis after cataract surgery over the 13-year study period were retrospectively analyzed. Only patients presenting with a VA of at least HM were included. Patients were initially treated with either primary vitrectomy or intravitreal antibiotic injection alone, and their visual outcomes and reintervention rates after initial treatment were compared.

Results: There was no significant difference in the proportion of good (final VA ≥20 / 40) and poor (VA ≤ counting finger) visual outcomes between the groups. However, subgroup analysis of patients with a VA of HM (92 eyes) showed that the incidence of reintervention (14 of 72 eyes [19.4%] vs. 9 of 20 eyes [45.0%]) and poor visual outcomes (10 of 72 eyes [13.9%] vs. 8 of 20 eyes [40.0%]) were lower after prompt vitrectomy than after intravitreal antibiotic injection alone (p = 0.019 and p = 0.022, respectively). For those with a VA of at least counting finger, no significant difference was observed between the groups.

Conclusions: For patients with endophthalmitis presenting with a VA of HM, performing a prompt vitrectomy reduced the incidence of reintervention and poor visual outcomes than the administration of intravitreal antibiotics alone. Our results suggest that primary vitrectomy for patients with endophthalmitis presenting with a VA of HM could be more beneficial than intravitreal antibiotic injection alone.

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来源期刊
Korean Journal of Ophthalmology : KJO
Korean Journal of Ophthalmology : KJO Medicine-Ophthalmology
CiteScore
2.40
自引率
0.00%
发文量
84
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