外伤性眼内炎手术治疗

目的　探讨外伤性眼内炎玻璃体切除手术治疗效果 ,并分析相关因素。方法　因外伤性眼内炎接受玻璃体切除手术治疗 2 1例 ( 2 1眼 ) ,其中硅油填充 18眼 ,C3 F8填充 2眼 ,无填充物 1眼。术前视力光感至 0 1。眼压平均为 7mmHg( 5～ 2 5mmHg) ( 1mmHg =0 13 3kPa)。平均随访 18月 ( 3～ 43月 )。结果　术后视力无光感至 0 8,视力提高 15眼 ( 71 43 % ) ,不变 4眼( 19 95 % ) ,视力下降 2眼 ( 9 42 % )。眼压平均为 18mmHg( 10～ 2 2mmHg) ,显著高于术前眼压 (P <0 0 5 )。并发症主要包括前房炎性渗出 ( 19眼 ) ,术后短暂高眼压 ( 4眼 ) ,视网膜脱离 ( 3眼 ) ,眼球萎缩 ( 2眼 )。结论　玻璃体切除手术是治疗外伤性眼内炎的安全有效的方法。

The surgical treatment of traumatic endophthalmitis

Objective To explore the effects of vitrectomy on traumatic endophthalmitis, and analyze the relative factors.Methods Twenty-one eyes of 21 patients with traumatic endophthalmitis received the treatment of vitrectomy. Silicone oil was injected in 18 eyes, C 3F 8 was used in 2 eyes, and no adjunct in 1 eye. Preoperative visual acuity ranged from light perception to 0 1. The mean preoperative intraocular pressure was 9 mmHg with a range from 5 to 25 mmHg. Follow-up ranged from 3 to 43 months with a mean of 18 months.Results The postoperative visual acuity ranged from non-light perception to 0.8. The vision increased in 15 eyes (71%), was stable in 4 eyes (19%), decreased in 2 eyes (10%). The mean postoperative intraocular pressure was 18 mmHg with a range from l0 to 22 mmHg, and was significantly higher than preoperative one (P<0.05). Postoperative complications mainly included fibrosis exudates in the anterior chamber (19 eyes), temporary intraocular pressure elevation (4 eyes),retinal detachment (3 eyes), and ocular atrophy (2 eyes).Conclusion Vitrectomy is a safe and effective method in treating traumatic endophthalmitis.