眼球穿孔伴化脓性眼内炎导致的交感性眼炎

目的：总结分析眼球穿孔伴化脓性眼内炎导致的交感性眼炎的临床特征、诊断及可能的发病原因。方法：对1993-2002年本院收治交感性眼炎87例中伴有化脓性眼内炎病史的交感性眼炎3例患者的临床资料作回顾性分析总结。结果：1993-2002年本院收治的眼球穿通伤及眼球破裂伤的病人5253例，同期收治的交感性眼炎87例，交感性眼炎的发生率为1．65％。其中3例发病前有眼球穿孔合并化脓性眼内炎的病史，3例眼底荧光血管造影检查结果均符合交感性眼炎改变；1例组织病理学检查报告为典型交感性眼炎改变。结论：眼球穿孔伴化脓性眼内炎仍可能发生交感性眼炎，应引起注意。眼科学报2003；19：75-78

Sympathetic Ophthalmia Caused by Ocular Penetration with Endophthalmitis

Purpose:To summarize the clinical features, diagnosis and treatment of sympathetic ophthalmia caused by ocular penetration with endophthalmitis.Methods : Retrospective analysis was done on clinical data of 3 cases of sympathetic ophthalmia with ocular penetration and endophthalmitis.Results :5 253 cases of ocular penetration and fracture were hospitalized from 1993 to 2002, while 87 cases of sympathetic ophthalmia were found at the same period of time, with the ratio of 1.65%. 3 cases had history of ocular penetration with endophthalmitis. Fluorescein angiography indicated that these 3 cases had developed sympathetic ophthalmia. Microscopic examination showed that 1 case had typical histological changes of sympathetic ophthalmia.Conclusion: Sympathetic ophthalmia caused by ocular penetration with endophthalmitis is infrequent, but this situation should not be neglect. Eye Science 2003; 19:75-78.