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早產兒視網膜病變

老年性黃斑變性玻璃體積血的玻璃體手術治療

玻璃體手術在我國的開展與推廣應用

玻璃體積血及手術治療

國產鹽酸去甲萬古霉素的視網膜毒性

鞏膜環扎術后環扎帶視網膜下異位一例

6點鐘處虹膜周邊切除孔膜閉的臨床處理

Ⅰ型神經纖維瘤病四例

細菌性眼內炎的藥物治療

細菌性眼內炎是臨床常見的眼內嚴重感染，分為外因性與內因性。外因性者較多，常見于眼外傷。引起細菌性眼內炎的細菌93%以上為革蘭氏陽性菌。革蘭氏陽性菌對萬古霉素均敏感，革蘭氏陰性菌對慶大霉素、丁胺卡那霉素及頭孢他啶敏感。一般治療方法對細菌性眼內炎效果差，且耐藥菌株不斷出現。萬古霉素聯合氨基甙類玻璃體腔內注射是治療細菌性眼內炎的重要方法。氨基甙類有視網膜毒性，頭孢他啶可替代氨基甙類。靜脈用藥可起重要的輔助作用。糖皮質激素制劑球內注射可減輕炎癥反應，應早用。玻璃體切除聯合球內注藥也是治療細菌性眼內炎的重要方法。 （中華眼底病雜志，1997，13：188-190）

Vitrectomy in diagnosing and treating endogenous endophthalmitis

ObjectiveTo analyse the effect of vitrectomy in diagnosing and treating endogenous endophthalmitis. MethodsThe effects of treatment, prognosis and the final follow-up visual acuity of 22 patients (30 eyes) with endogenous endophthalmitis diagnosed in our hospital from Jan 2000 to Dec 2003 were retrospectively reviewed.ResultsIn 21 patients who underwent blood or vitreous body smear and culture, 18 (86%) had a positive result, including bacteria in 6, fungi in 11, and mixed infection in 1. In 16 patients who had complete follow-up data, successful vitrectomy were performed on 13 (81.3%) including 6 with functional success.ConclusionVitrectomy may improve the positive rate of culture and vision prognosis in patients with endogenous endophthalmitis.(Chin J Ocul Fundus Dis, 2005,21:142-144)