Nursing Care after Surgical Treatment of Fungal Endophthalmitis in Children.

Abstract

Purpose: To explore the nursing care following surgical treatment of fungal endophthalmitis in children.

Methods: Thirty two children (32 eyes) with fungal endophthalmitis were enrolled in this study. After receiving antifungal medication, the children underwent either intravitreal injection, intravitreal injection of medicine combined with vitrectomy, or intravitreal injection in combination with vitrectomy and intraocular C3F8 tamponade. Prior to surgery, psychological and quarantine nursing, and medication use was properly prepared. After the surgery, the changes in the severity of diseases were strictly observed. A suitable body posture was selected and the eyes were protected from infection.

Results: Among 32 patients with fungal endophthalmitis, 8 (25% ) cases presented with alleviated inflammation and no changes in visual acuity. The visual acuity of 18 cases (56.25%) was improved to different extents postoperatively. The inflammation in 6 children (18.75%) was properly controlled and the visual acuity declined. No cross-infection was noted in any patient.

Conclusion: Prior to surgery, quarantine nursing and drug administration should be properly prepared. Postoperatively, the changes in the severity of diseases should be tightly monitored. The patients should be treated with effective therapies in a proper position, aiming to enhance the surgical efficacy.