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长轴长度是微切割性玻璃切除和膜剥离手术中传染性内炎的危险因素
Sang Cheol Yang1,2, Dong Seon Kim1,2, Tae Yeon Kim1,2
1Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
Retina (Philadelphia, Pa.)
|March 6, 2026
概括
研究了微切割膜剥离 (MIVS-MP) 的微切割玻璃切除手术中的传染性内膜炎 (IE) 风险因素. 高近视和近视伸缩性黄眼病 (MTM) 增加了IE易感性,可能是由于早期术后眼内压力 (IOP) 降低.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
- 传染性疾病 传染性疾病
背景情况:
- 感染性内眼炎 (IE) 是眼内外科手术后的一种严重并发症.
- 带有膜剥离的微切口玻璃切除手术 (MIVS-MP) 是对视网膜 (ERM) 的常见手术.
- 在MIVS-MP后识别IE的风险因素对于预防和管理至关重要.
研究的目的:
- 调查微切口玻璃切除手术和膜剥离 (MIVS-MP) 后与传染性内炎 (IE) 相关的发生率和危险因素.
主要方法:
- 一个回顾性审查的医疗记录的患者接受MIVS-MP的脑膜膜 (ERM).
- 分析IE发病率,致病微生物和潜在的风险因素,包括年龄,性别,同时白内障手术,轴长,折射误差,眼内压力 (IOP),近视性伸缩性黄斑病 (MTM) 和糖尿病 (DM).
主要成果:
- IE的发病率为0.45% (在3,496只眼睛中,有16只眼睛).
- 常见的致病生物包括Staphylococcus epidermidis.
- 在女性中观察到IE风险增加,眼睛有MTM (5.0%) 和高近视 (1.7%). 具有MTM和高近视的眼睛显示显著降低早期术后内血压.
- 对于年龄,轴长,同时进行白内障手术或糖尿病等方面,IE率没有显著差异.
结论:
- 高近视和近视伸缩性黄斑病 (MTM) 是微切口视切除手术和膜剥离 (MIVS-MP) 后手术后传染性内炎 (IE) 的重要危险因素.
- 高近视和MTM眼睛的早期术后眼内压力 (IOP) 降低可能会增加对IE的敏感性.
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