目的 探讨青光眼滤过术后迟发性眼内炎的病因、治疗方法及预后.方法 选择我院收治的行滤过手术治疗青光眼患者582例,迟发眼内炎患者9例,未迟发眼内炎患者573例,对比2组患者情况,观察迟发组的预后.结果 2组患者在使用丝裂霉素C、薄壁滤过泡2个方面的差异有统计学意义(P<0.05);使用丝裂霉素C、薄壁滤过泡是术后迟发眼内炎的独立危险因素(P<0.05);治疗后视力水平≥0.01的患者明显多于治疗前(P<0.05).结论 青光眼滤过术后迟发性眼内炎的发生与丝裂霉素C、薄壁滤过泡相关,及时诊断、治疗能获得较好的视力预后效果.%Objective To investigate the causes, treatment and prognosis of delayed endophthalmitis after glaucoma filtration surger-y. Methods A total of 582 cases patients with glaucoma were selected in our hospital, of whom there were 9 cases of delayed endophthalmitis patients and 573 cases of normal patients. The two groups were compared, and the prognosis of delayed group was observed. Results The difference in mitomycin C, thin - wall blebs of two group was significant ( P < 0. 05 ); mitomycin C, thin - wall blebs were independent risk factor for delayed endophthalmitis ( P <0. 05 ); patients whose vision level≥0. 01 after treatment accounted significantly more than those before treatment ( P < 0. 05 ). Conclusion Delayed endophthalmitis after glaucoma filtration surgery has relation with mitomycin C and thin -wall blebs; timely diagnosis and treatment can ensure better visual prognosis.
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