ABSTRACT
AIM:
To explore the
risk factors for
endophthalmitis in age - related
cataract patients undergoing
phacoemulsification, in order to provide reasonable intervention countermeasures to reduce the
incidence of eddophthalmitis after
phacoemulsification, increase the
surgery efficacy.?
METHODS:
The 4500 cases (6180
eyes) of age-related
cataract patients with
phacoemulsification in our
hospital were analyzed, and cases of endopathalmitis needed to have vitreous
puncture to collect the sample for
analysis, the infectious
bacteria, funfal distribution and the operation
time,
patients age,
complications,
surgical incision were analyzed for the
risk factors of
endophthalmitis in senile
cataract patients. Data were statistically analyzed by SPSS 18. 0.?
RESULTS:
In our study, among the 4500 cases ( 6180
eyes ) with
phacoemulsification, the
endophthalmitis infection rate was 0. 19％ (12/6180), the
incidence of
endophthalmitis was significantly higher in
patients with age ≥75 years, with diabetes,
hypertension,
coronary heart disease history, and the temporal transparent corneal tunnel incision
surgery (P<0. 05). The vitreous overflow and the posterior
capsule broken in the operative process of the
endophthalmitis infection were 60.00％ (9/15) and 66. 67％(8/12), more higher than
patients with no symptoms obviously (P<0. 01).?
CONCLUSION:
For the
cataract patients over 75 years old or with diabetes, interventions should be done well before
surgery.
Surgical incision should be selected in the
surgical procedure and avoid
complications such as vitreous overflow and posterior capsular
rupture in order to reduce the
incidence of intraocular
infection and improve the postoperative recovery.
