儿童外伤性眼内炎50例临床治疗分析  

Vitreous surgery for endophthalmitis of children in 50 cases

作　　者：王彤[1] 吕沛霖[1] 陈丽红[2] 

机构地区：[1]中国陕西省西安市第一医院眼科西安市眼科医院,710002 [2]中国浙江省金华市中心医院眼科,321000

出　　处：《国际眼科杂志》2005年第2期294-295,共2页International Eye Science

摘　　要：目的:探讨玻璃体切除联合抗生素治疗儿童眼内炎的手术时机和疗效。方法:对儿童外伤性眼内炎50例采用上述方法治疗,对疗效进行回顾性分析,其中合并球内异物9例,视网膜脱离11例。结果:术后随访6～12mo,45例视力光感～0.5,其中3眼视网膜脱离复发,另5眼视力无光感,眼球萎缩。结论:儿童外伤性眼内炎一经确诊应立即手术,因儿童眼外伤后增殖旺盛,视网膜脱离发生率高,手术中应进行硅油填充,尽可能保留视功能,防止眼球萎缩。· AIM: To discuss the opportunity and the clinical effects of vitreous surgery on endophthalmitis of the children.· METHODS: The data were collected from 50 cases of endophthalmits accepting vitrectomy and were analyzed retrospectively, lombined with 9 cases of intraocularforeign body, 11 cases retinal combined detachmeat.· RESULTS: After a follow up period of 6～12 months, the visual acuity achievedlight perception～0.5 in 45 cases; 3 cases had retinal redetachment; 5 cases had no light perception and eye balls were atrophic.· CONCLUSION: The children patients suffered the endophthalmitis must be performed vitrectomy as early as possible and filled silicone intraoperatively. There is high incidence of retinal detachmeat in children group. The vitreous surgery is helpful to reserve visual function and prevent the atrophy of eyeball.·

关 键 词：外伤性眼内炎 儿童 治疗分析 临床 眼视网膜脱离 眼球萎缩 抗生素治疗 玻璃体切除 回顾性分析 手术时机 球内异物 术后随访 视力光感 硅油填充 无光感 眼视力 外伤后 发生率 手术中 视功能 疗效 

分 类 号：R779.1[医药卫生—眼科] R699.8[医药卫生—临床医学]