Overview

发音为“ End-opf-thal-Mi-tis，是用来描述眼睛内部严重炎症的术语。炎症是由感染引起的。它可能发生在某些类型的眼科手术中，或者如果眼睛被外部物体刺穿。

Endophthalmitis is very rare, but if it occurs, it’s an urgent medical emergency.

感染后症状非常快。它们通常会在一到两天内发生，或者有时在手术后六天或眼睛创伤。症状包括：

  • eye pain that becomes worse after surgery or injury to the eye
  • decreased or loss of vision
  • 红眼睛
  • pus from the eye
  • swollen eyelids

症状也可能稍后发生，例如手术后六周。这些症状往往更温和，包括：

  • 模糊的视野
  • 轻度的眼睛疼痛
  • trouble looking at bright lights

如果您注意到这些症状中的任何一种，请立即去看医生。治疗了较早的内脑膜，引起持续和严重的视力问题的可能性就越小。

There are two main types of endophthalmitis. One is exogenous endophthalmitis, meaning infection goes inside the eye through an outside source. The second is endogenous endophthalmitis, meaning infection spreads to the eye from another part of the body.

Exogenous endophthalmitis is the most common form. It can occur as a result of a cut to the eye during surgery or by piercing of the eye by a foreign body. Such cuts or openings make it more likely infection will travel inside the eyeball.

Exogenous endophthalmitis is seen more frequently with specific eye surgeries. One iscataract surgery. This isn’t necessarily due to the surgical procedure itself. Cataract surgery is the most common eye surgery performed, so there are more possibilities for this surgery to result in endophthalmitis.

Other surgeries that result more frequently in this type of infection are those done within the eyeball itself. This is called intraocular surgery.

Risk factors for exogenous endophthalmitis include extra loss of fluid behind the eye, poor wound healing, and a longer surgery time.

After a piercing eye trauma, risk factors for endophthalmitis include:

  • having the foreign object, or a piece of the object, remain in your eye
  • waiting more than 24 hours to repair the cut
  • 在乡村环境中，您更有可能在眼中吸引土壤
  • damage to the lens

People who’ve had certain types of surgery forglaucoma, such as glaucoma filtering, are at life-long risk of developing endophthalmitis.

Your doctor, usually an ophthalmologist (a doctor specializing in eye health), will likely do several things to find out if symptoms are from endophthalmitis. They will look at your eye and test your vision. They may order an超声看看眼球中是否有异物。

如果怀疑感染，您的医生可能会进行称为玻璃体水龙头的测试。这涉及使用一根小针从眼球中取出一些液体。然后对液体进行测试，以便您的医生可以说出治疗感染的最佳方法。

处理内膜炎部分取决于条件的原因。

It’s most important to get an antibiotic into the eye as soon as possible. Typically, antibiotics are placed right into the eye with a tiny needle. A corticosteroid may be added in some cases to reduce swelling. Only in very rare and more serious cases are general antibiotics given.

如果眼中有异物，尽可能快地去除物体同样重要。切勿尝试自己从眼睛中删除对象。相反，请立即进行医疗护理。

症状通常在开始治疗后的几天内开始改善。眼睛疼痛和眼睑肿胀在视力变得更好之前会有所改善。

通过遵循医生的眼部护理建议，可以减少内嗜性治疗的并发症。特别是，请确保您知道如何以及何时放入任何处方的眼部滴或抗生素眼药软膏。如果开了眼睛补丁，您还应该知道如何以及在何处放置补丁。您可能需要胶带才能将补丁固定在适当的位置。

Be sure to keep all follow-up eye appointments with your doctor.

Use protective eyewear when doing anything that could cause an object to fly into your eye, such as sawing wood, or during contact sports. Protective eyewear may include:

  • goggles
  • 眼罩
  • 头盔

If you have eye surgery, follow your doctor’s postoperative instructions. That can help reduce your risk for infection.

内po骨是一种复杂的状况，对您的视力可能会出现严重的结果。视力下降，可能会失去眼睛。如果立即治疗病情，这些事件的可能性大大降低。这是一个医疗紧急情况，需要立即和适当的医疗护理。如果正确地处理正确，则通常认为内po的前景是好的。