真菌有一千多种,在自然环境中广泛存在,几乎不能防止其污染。与眼科临床最密切的真菌主要是霉菌和酵母菌。近几年来,由于皮质激素的广泛应用,眼部霉菌感染的发病率有所上升。下面,拟就霉菌性眼内炎(重点是术后霉菌性眼内炎)作一简要综述,以供临床参考。一、霉菌感染的来源引起霉菌性眼内炎的途径有二,或为内源性,或为外源性。内源性感染比较罕见。它通常是由身体其它部位的病灶(如皮肤、肺部或全身霉菌感染等)通过血液扩散而来。Lieberman(1979)曾报告过 There are over a thousand fungi, which are widespread in the natural environment and hardly prevent their contamination. The closest clinics to ophthalmology are mainly molds and yeasts. In recent years, due to the widespread use of corticosteroids, the incidence of eye mold infections have increased. In the following, the fungal endophthalmitis (focusing on postoperative fungal endophthalmitis) is to be briefly reviewed for clinical reference. First, the source of fungal infection Cause fungal endophthalmitis have two ways, or endogenous, or exogenous. Endogenous infections are rare. It is usually spread from the blood through lesions in other parts of the body, such as skin, lungs or systemic fungal infections. Lieberman (1979) once reported