中国外伤性感染性眼内炎防治专家共识(2023年)

Chinese expert consensus on the prophylaxis and management of traumatic infectious endophthalmitis(2023)

外伤性感染性眼内炎是指开放性眼外伤后病原微生物入侵眼球致眼球壁及眼内容物感染,发病率约为4%~16%。外伤性感染性眼内炎的发生、发展及预后与眼外伤类型、致病微生物性质、眼内异物存留与否及外伤后处理是否及时等多种因素有关。对于高危患者,采取合理预防措施及给予准确诊断、及时有效治疗对恢复视功能乃至保留眼球至关重要。为进一步明确并规范外伤性感染性眼内炎的防治工作,中华医学会眼科学分会眼外伤学组经过反复讨论,针对外伤性感染性眼内炎的危险因素、诊断、治疗、预后、预防达成共识性意见,供眼科医师在临床工作中参考。

Traumatic infectious endophthalmitis refers to the inflammation of one or multiple layers of the eyeball wall and intraocular contents caused by pathogen invasion after open globe injury.Its incidence rate is about 4%to 16%.There are various factors related to the occurrence,development and prognosis of traumatic infectious endophthalmitis,including the types of ocular trauma,the properties of pathogens,the presence of intraocular foreign body and the treatment timing.Reasonable preventive measures,accurate diagnosis and timely and effective treatment are critical for the recovery of visual function and even the preservation of the eyeball in high-risk patients.In order to further clarify and standardize the prophylaxis and management of traumatic infectious endophthalmitis,the experts of the China Ocular Trauma Society have reached consensus opinions after discussions,thus providing reference for ophthalmologists in clinical practice.