47例交感性眼炎激发眼临床资料分析

Clinical analysis of 47 exciting eyes with sympathetic ophthalmia

目的 :探讨发生交感性眼炎的相关因素。方法 :对 4 7例交感性眼炎激发眼临床与病理资料进行回顾性分析 ,包括性别、年龄、眼别、致伤原因、受伤部位、潜伏期及病理改变等。结果 :交感性眼炎多发生于青壮年 ,致伤原因多为眼球穿孔伤 ,受伤部位为角巩膜缘者最多 ,潜伏期在 2～ 8周最多。病理改变以脉络膜从前向后的逐渐增厚为特征。结论 :交感性眼炎的发生与年龄、受伤部位有关。

Objective:To evaluate the factors related to sympathetic ophthalmia.Methods:The deta of pathology of enucleated exciting eyeballs and the histories of the 47 patients were reviewed retrospectively.Results:Sympathetic ophthalmia occurred mostly in younger persons,and the most common causes were ocular perforating injuries,especially at the corneoscleral limbus.Latent periods of 2～8 weeks were more common.Pathologically,the choroid incrassated from posterior to anterior gradually.Conclusions:The incidence of symathetic ophthalmia is related to age and ocular perforating injury.Sympathetic ophthalmia may be diagnosed definitely by pathologic examination.