国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (6): 564-569.doi: 10.3760/cma.j.issn.1673-5803.2023.06.016

• • 上一篇    下一篇

斜视术后感染的危险因素及防治

张飞娥1, 2  蔡岩2   

  1. 1新疆医科大学研究生院,乌鲁木齐 830054; 2中国人民解放军新疆军区总医院 全军眼科中心,乌鲁木齐 830000 

  • 收稿日期:2023-04-23 出版日期:2023-12-22 发布日期:2023-12-22
  • 通讯作者: 蔡岩,Email:wlmqren101@126.com
  • 基金资助:
    全军临床重点专科自选项目

The risk factors and prevention of postoperative strabismus infection

Zhang Feie1, 2 , Cai Yan2   

  1. 1Graduate School, Xinjiang Medical University, Urumqi 830054, China; 2General Hospital of Xinjiang Military Region, Ophthalmology Center of the Chinese PLA, Urumqi 830000, China

  • Received:2023-04-23 Online:2023-12-22 Published:2023-12-22
  • Contact: Cai Yan, Email: wlmqren101@126.com
  • Supported by:
    Military Clinical Key Specialized Self Selection Project

摘要: 斜视手术后感染是一种少见并发症,但影响术后恢复和手术效果。斜视术后感染常表现为角结膜炎、结膜下脓肿、Tenon囊脓肿、眼眶蜂窝织炎、眶周脓肿或眼内炎。感染类型、深度和部位决定了治疗方法。浅表感染外用抗生素治疗后恢复良好;脓肿需要切开引流以及全身使用抗生素;涉及深层组织的感染需要全身治疗;眼内炎可导致视力下降甚至失明,需要玻璃体注射抗生素或玻璃体切除术。(国际眼科纵览,2023, 47:564-569)

关键词: 斜视/外科学, 斜视/并发症, 眼感染, 眼内炎, 巩膜穿孔

Abstract: Infection after strabismus surgery is a rare complication, but it affects postoperative recovery and surgical outcomes. Post-strabismus infection often manifests as keratoconjunctivitis, subconjunctival abscess, Tenon's capsule abscess, orbital cellulitis, periorbital abscess or endophthalmitis. The type, depth and location of the infection determine the treatment. Superficial infections recover well with topical antibiotic treatment; abscesses require incision and drainage as well as systemic antibiotics; infections involving deeper tissues require systemic treatment; and severe endophthalmitis can lead to vision loss or even blindness, requiring vitreous cavity injection antibiotics or vitrectomy.(Int Rev Ophthalmol, 2023, 47:  564-569)

Key words: strabismus/surgery, strabismus/complication, eye infection, endophthalmitis, scleral perforation