UNASSIGNED: We explored the variations in macular thickness using OCT after emergency vitrectomy for post-cataract infectious endophthalmitis and the relationship between macular thickness with changes in visual function.
UNASSIGNED: We included 10 cases of post-cataract infectious endophthalmitis. Each patient underwent 25-G vitrectomy.
UNASSIGNED: The infection in all 10 patients was under control and visual function improved. Postoperative vitreous humor culture was positive in 8 patients, including 7 cases of coagulase-negative Staphylococcus epidermidis and 1 case of Lactobacillus acidophilus. The average age of these 10 patients was 71.60 ± 8.71 years (P< 0.05, two-tailed). There was no significant correlation between time 2 (the time of onset after cataract surgery) and visual prognosis. The average time 1 (the time of the vitrification surgery caused by the onset of the disease) was 1.45 ± 0.76 days (P< 0.05, two-tailed). The postoperative 3dVA ranged from 0.20 to 3.00, with an average visual acuity of 1.87 ± 1.12, which was superior to the preoperative value (P< 0.01, two-tailed). The correlation between the post3dVA and post 1mVA was significant. The post 1mVA ranged from 0.05 to 2.20, with an average visual acuity of 0.94 ± 0.74 (P< 0.05, two-tailed). The correlation between post 1mVA and post3mVA was significant. Also, paired t-tests comparing preoperative and postoperative visual acuity revealed a significant correlation (P< 0.05, two-tailed). The post3mVA was 0-1.00 with an average visual acuity of 0.44 ± 0.41. The postoperative foveal thickness ranged from 176.00 to 514.00 μm, with an average thickness of 281.10 ± 113.12 μm.
UNASSIGNED: Emergency 25-G minimally invasive vitrectomy can improve visual acuity and decrease the reoperation rate for patients who have acquired post-cataract infectious endophthalmitis. There were significant correlations between age, disease onset to operation time, preoperative and postoperative visual acuity, and postoperative macular thickness.
目的:我们探讨了白内障后感染性眼内炎急诊玻璃体切除术后黄斑厚度的变化,以及黄斑厚度与视功能变化之间的关系。
方法:我们包括10例白内障后感染性眼内炎。每位患者均接受25-G玻璃体切除术。
结果:10例患者感染均得到控制,视功能得到改善。术后玻璃体液培养阳性8例,其中凝固酶阴性表皮葡萄球菌7例,嗜酸乳杆菌1例。10例患者平均年龄为71.60±8.71岁(P<0.05,双尾)。时间2(白内障手术后的发病时间)与视觉预后之间没有显着相关性。平均时间1(发病引起玻璃化手术的时间)为1.45±0.76天(P<0.05,双尾)。术后3dVA为0.20~3.00,平均视力为1.87±1.12,优于术前(P<0.01,双尾)。3dVA后和1mVA后的相关性显著。术后1mVA范围为0.05~2.20,平均视力为0.94±0.74(P<0.05,双尾)。1mVA后和3mVA后的相关性显著。此外,配对t检验比较术前和术后视力显示显著相关(P<0.05,双尾).术后3mVA为0-1.00,平均视力为0.44±0.41。术后中央凹厚度176.00~514.00μm,平均厚度为281.10±113.12μm。
结论:急诊25-G微创玻璃体切除术可提高白内障后患感染性眼内炎患者的视力,降低再手术率。年龄之间存在显著的相关性,疾病发病到手术时间,术前术后视力,术后黄斑厚度。