Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
- 参考文献 Reference
要約 目的:術後感染性眼内炎の治療として硝子体手術を行った症例を検討した。
方法:2006年1月〜2018年4月の間,関西医科大学附属病院で術後感染性眼内炎の治療として硝子体手術を行った症例は13例13眼であった。濾過胞炎や移植片からの感染症例は除外した。最終小数視力0.5以上であった6眼を視力良好群とし,0.4以下であった7眼を視力不良群として視力予後に影響する因子を検討した。
結果:視力不良群では加齢黄斑変性,末期緑内障,網膜色素変性,網膜中心静脈閉塞症などの眼疾患や,アトピー性皮膚炎,腎不全,ダウン症,認知症といった全身疾患があり,うち3眼は眼内炎のために光覚なしとなった。発症時の眼痛は視力不良群で有意に多く,硝子体術後に眼底が透見できるようになるまでの期間は視力不良群で有意に長かった。
結論:元来の眼疾患や全身疾患がなければ,術後感染性眼内炎は速やかな硝子体手術により視力予後が良好に保たれることがあり,全身疾患の併存に気をつけて治療にあたる必要がある。
Abstract Purpose:To present a review of cases of endophthalmitis who were treated by vitreous surgery.
Cases:This study was made on 13 eyes of 13 cases that developed infectious endophthlmitis from 2006 through 2018 in Kansai Medical University Hospital. The series comprised 10 males and 3 females. The age ranged from 6 to 89 years, average 58 years. The initial surgery included cataract surgery 7 eyes and vitreous surgery 4 eyes among others. All the 13 cases received vitreous surgery for endophthalmitis.
Findings:Final visual acuity was 0.5 or better in 6 cases and less than 0.4 in 7 cases, including 3 cases who became blind. Some cases with poor visual outcome had ocular diseases including age-related macular degeneration, end-stage glaucoma, central retinal vein occlusion or retinitis pigmentosa. Other cases had systemic diseases including atopic dermatitis, renal failure, Down syndrome or dementia. Ocular pain at the onset of endophthalmitis was more manifest in cases with poor visual outcome than the rest. After treatment with vitreous surgery, the fundus became visible after longer duration in cases with poor visual outcome than the rest.
Conclusion:Vitreous surgery for postoperative endophthalmitis resulted in fair visual outcome when the cases were free of ocular or systemic diseases.
Copyright © 2019, Igaku-Shoin Ltd. All rights reserved.