摘要
目的探讨玻璃体切除术治疗儿童外伤性眼内炎的疗效。方法回顾性研究，17例（17眼）儿童外伤性眼内炎治疗方法及疗效。结果单纯玻璃体腔注药控制4眼；玻璃体切除13眼，其中玻璃体、晶状体切除联合硅油填充10眼，玻璃体切除联合硅油填充2眼，眼内注气1眼；17眼中共保留晶状体5眼。9眼视力提高（52．94％），视力不变者3眼（17．65％），视力下降5眼（29．41％）（其中3眼眼球萎缩）。结论儿童外伤性眼内炎手术效果与眼内炎程度、就诊时间、致病菌毒力有关，无外伤性白内障的眼内炎玻璃体切除是否保留晶状体要考虑年龄及眼内炎的严重程度。
Objective To study the therapeutic effect and the operation time of vitrectomy for trau- matic endophthatmitis in children. Methods The traumatic causes, traumatic objects, visiting time, clini- cal findings,treatment and effects were retrospectively analyzed for 17 eyes of 17 cases. Results 4 cases were treated with drug injection into the vitreous cavity only. 13 cases were treated with vitreetomy （2 cases were treated by vitrectomy and silicone oil tamponade. 1 cases were treated by vitrectomy and C3Fs tampon- ade. 10 cases were treated by vitrectomy, lensectomy and silicone oil tamponade. ） The visual acuity was improved in 9 eyes（52.94% ）. Visual acuity of 5 eyes（29.41% ）did not change, while visual acuity of 3 eyes （ 17.65% ） decreased. Conclusion As for the clinic features of endophthalmitis in children, Vitrecto- my combined with sensitive antibiotics is the effective method to control traumatic endophthalmatis. The lens could be reserved only in cases of slight symptom.
出处
《中华眼外伤职业眼病杂志》
2012年第12期888-890,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
