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目的：总结细菌性眼内炎经玻璃体腔穿刺给药（以下简称ＴＡＰ）或／和经平坦部玻璃体切除术（以下简称ＶＩＴ）的治疗情况。方法：６１例６１眼外源性细菌性眼内炎患者，３５眼ＴＡＰ治疗；其中１２眼无效再ＶＩＴ治疗；２６眼ＶＩＴ治疗。结果：２３眼仅ＴＡＰ治疗者２２眼视力进步，０．１及以上者１３眼，玻璃体清晰或混浊明显减轻，１２眼先ＴＡＰ后ＶＩＴ治疗者７眼视力进步，玻璃体全部清晰；２６眼ＶＩＴ治疗者２０眼视力光感及以上，其中５眼视力０．１及以上，玻璃体均清晰；６眼视力丧失。ＶＩＴ主要并发症为：眼内出血，视网膜脱离，白内障、角膜内皮水肿。结论：ＴＡＰ方法简便，眼内损伤少，应首选，尤适合于玻璃体混浊局限于前中段，较早期的细菌性眼内炎；ＶＩＴ操作复杂，有并发症，适合于ＴＡＰ治疗无效以及含有眼内异物或视网膜前有机化膜，视网膜脱离等合并症的细菌性眼内炎
OBJECTIVE: To summarize the treatment of bacterial endophthalmitis by intravitreal puncture (hereinafter referred to as TAP) and / or by vitrectomy (hereinafter referred to as VIT). Methods: Sixty-one 61 patients with exogenous bacterial endophthalmitis were treated with 35 eyes of TAP, 12 of them were treated with VIT again, and 26 eyes were treated with VIT. Results: Twenty-three eyes of 23 TAP-only patients showed visual acuity improvement, 13 eyes of 0.1 or more had clear or turbid vitreous body, 12 eyes developed visual acuity after early TAP and all vitreous bodies were clear. 26 eyes treated with VIT 20 eyesight and above light perception, of which 5 eyesight 0.1 and above, the vitreous were clear; 6 eyesight loss. The main complications of VIT are intraocular hemorrhage, retinal detachment, cataract and corneal endothelial edema. Conclusion: TAP method is simple, less damage to the eye should be preferred, especially suitable for the vitreous opacity limited to the early middle stage, early bacterial endophthalmitis; VIT complicated operation, complications, suitable for TAP ineffective and intraocular Foreign body or pre-retinal organic film, retinal detachment and other complications of bacterial endophthalmitis