Clinical observation of 44 cases of traumatic endophthalmitis

中国实用眼科杂志 Pub Date : 2017-07-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.07.019

Chao-wei Tian, Yusheng Wang, D. Hu, G. Dou

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Abstract

Objective To explore the clinical treatment effect of traumatic endophthalmitis. Methods Retrospective cross-sectional study. Clinical records of 44 patients (32 eyes of 32 cases in men and 12 eyes of 12 cases in women) with traumatic endophthalmitis in our hospital were reviewed between January 2010 and January 2016, which included 29 eyes of penetrating injury and 15 eyes of ocular rupture. Preoperative visual acuity was no light perception to 0.8. Thirty-four eyes were treated vitrectomy (12 eyes combined with intraocular foreign body removal). Three eyes were treated vitrectomy after intraocular vitreous cavity injection. Three eyes were treated intraocular vitreous cavity injection. Two eyes were treated only drugs. Two eyes were treated removal of eye contents. In the 34 eyes treated vitrectomy, 36 eyes were injected with silicone oil and 1 eye was injected with C3F8. The patients were followed up for 6 months to 1 year. Results Retina of 32 eyes was reattached and inflammation was controlled in 34 eyes. Eye condition of eleven eyes was stable after removal of silicone oil in 36 eyes. The eye shape was maintained with silicone oil in 25 eyes, of which 10 eyes had poor retinal reattachment. Two eyes were ocular prosthesis. Conclusions Traumatic endophthalmitis is affected by a variety of factors. The prognosis of traumatic endophthalmitis is determined by the nature of the injury, the severity, the treatment measures. The patient can save vision, if early to take active treatment. Key words: Ocular trauma; Endophthalmitis

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外伤性眼内炎44例临床观察

目的探讨外伤性眼内炎的临床治疗效果。方法回顾性横断面研究。回顾我院2010年1月至2016年1月收治的外伤性眼内炎44例(男32例32眼，女12例12眼)的临床资料，其中穿透性损伤29眼，眼破裂15眼。术前视力无光感~ 0.8。玻璃体切除术34眼，其中12眼联合眼内异物去除术。3只眼在眼内玻璃体腔注射后行玻璃体切除术。3眼采用眼内玻璃体腔注射治疗。两只眼睛只用药物治疗。2只眼切除眼内内容物。玻璃体切除术34眼，36眼注射硅油，1眼注射C3F8。随访6个月~ 1年。结果32眼视网膜再植，34眼炎症得到控制。36只眼去除硅油后，11只眼的视力状况稳定。25只眼用硅油维持眼形，其中10只眼视网膜再植不良。两只眼为人工眼。结论外伤性眼内炎受多种因素影响。外伤性眼内炎的预后取决于损伤的性质、严重程度和治疗措施。患者若能及早采取积极治疗，可挽救视力。关键词:眼外伤;眼内炎

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中国实用眼科杂志

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9101

期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.