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

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.·