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在白内障手术后内炎的治疗模式是否符合内炎玻璃切除研究的建议? :一个学院IRIS®注册表分析

Maurizio Tomaiuolo¹, Jordan Deaner², Brian L VanderBeek³

¹Vickie and Jack Farber Vision Research Center at Wills Eye, Wills Eye Hospital, Philadelphia, Pennsylvania.

Ophthalmology. Retina

|July 24, 2024

概括

在IRIS注册表中,白内障手术后内炎的治疗方法与1995年内炎玻璃切除研究 (EVS) 准则有所不同. 许多患有光感知 (LP) 视觉的患者接受了用抗生素注射 (TAP) 进行玻璃接,而不是立即玻璃切除术 (VIT).

科学领域:

眼科医生眼科眼科
视网膜疾病视网膜疾病
外科手术的结果

背景情况:

在白内障手术后的内炎需要迅速有效的治疗.
1995年"内炎玻璃切除研究" (Endophthalmitis Vitrectomy Study,简称EVS) 制定了基于证据的指导方针,用于管理内炎,特别是对于光感知 (LP) 视力患者,建议立即进行玻璃切除 (VIT).

研究的目的:

评估当前内眼炎治疗模式中遵守EVS指南的情况.
评估美国眼科学院IRIS注册表中白内障手术后内炎的治疗选择 (VIT与注射抗生素的玻璃体接 - TAP).

主要方法:

使用IRIS注册表 (2014-2022) 的回顾性队列研究.
在白内障手术后42天内确定患有内炎的患者,并接受VIT或TAP治疗.
多变量后勤回归分析了共变量,包括呈现视觉敏度,种族,种族和地理区域.

主要成果:

在2425名患者中,86%接受了TAP,14%接受了VIT.
66%的患有LP视力的患者接受了TAP治疗,这与EVS建议相反.
使用VIT与表现较差的视力,亚洲种族,西班牙裔种族和美国西部/中西部地区有关.

结论:

在IRIS注册表中,白内障手术后内炎的治疗模式与EVS基于证据的指南不一致.
需要进一步的研究,以确定白内障后手术患者的最佳治疗策略.

关键词:

白内障是什么?白内障是什么?白内障是什么?电动汽车服务的指导方针内部形形炎 (Endophthalmitis) 是一种龙头和注射,然后使用.玻璃切除术是一种玻璃切除术.

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