外伤性眼内炎44例临床观察  

Clinical observation of 44 cases of traumatic endophthalmitis

作　　者：田超伟 王雨生 胡丹 窦国睿 李璐希 Tian Chaowei Wang Yusheng Hu Dan Dou Guorui Li Luxi(Department of Ophthalmology, The First Affiliated Hospital of the Fourth Military Medical University, Eye Institute of Chinese PLA, Xi＇an 710032, China)

机构地区：[1]第四军医大学第一附属医院眼科,全军眼科研究所,西安710032

出　　处：《中国实用眼科杂志》2017年第7期738-742,共5页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨外伤性眼内炎临床治疗效果。方法回顾性分析2010年1月至2016年1月在第四军医大学第一附属医院眼科住院治疗的外伤性眼内炎44例（44只眼）患者的临床资料，其中男32例32只眼，女12例12只眼。其中穿通伤29只眼，破裂伤15只眼。患眼矫正视力为无光感-0．8。34只眼直接行玻璃体切割术（12只眼联合眼内异物取出术），3只眼玻璃体腔内注药后行玻璃体切割术，3只眼仅行玻璃体腔内注药术，2只眼仅行局部及全身药物治疗，2只眼直接行眼内容物剜除术。行玻璃体切割术的37只眼中36只眼注入硅油，1只眼注入长效气体C3F8。术后随访6个月至1年。结果44只眼中32只眼视网膜复位良好，炎症控制。36只硅油充眼中，11只眼硅油取出后稳定，25只眼硅油维持（其中10只眼视网膜复位不良）。2只眼为义眼。结论外伤性眼内炎受多种因素影响，受伤性质、严重程度、治疗方式是决定最终预后的原因，尽早采取积极果断治疗措施，可以挽救部分患者一定的视力。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 re- viewed 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 vitre- ous cavity injection. Two eyes were treated only drugs. Two eyes were treated removal of eye con- tents. In the 34 eyes treated vitrectomy, 36 eyes were injected with silicone oil and 1 eye was in- jected 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. Conclu- sions Traumatic endophthalmitis is affected by a variety of factors. The prognosis of traumatic endo- phthalmitis is determined by the nature of the injury, the severity, the treatment measures. The pa- tient can save vision, if early to take active treatment.

关 键 词：眼外伤 眼内炎 

分 类 号：R779.1[医药卫生—眼科]