交感性眼炎临床相关因素的分析

Clinical analysis of 75 cases with sympathetic ophthalmia

目的 探讨发生交感性眼炎的相关因素。方法 对 75例交感性眼炎临床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、潜伏期及临床体征等。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 ,占88 0 0 % ;受伤部位为角膜缘者最多 ,占 5 9 3 2 % ;潜伏期 9天～ 3 6年 ,以 2～ 8周者最多 ,占 47 89% ;年龄越小发生后段改变的可能性越高 ,潜伏期在 8周～ 1年的病例越趋向于发生后段改变。结论 交感性眼炎的发生与年龄及受伤部位有关 ,后段改变较多发生于年龄小及潜伏期长者。

Objective To discuss the relating factors of sympathetic ophthalmia.Methods 75 cases of sympathetic ophthalmia were analysed, including sex, age, injury, latent period and physical sign.Results The incidence of sympathetic ophthalmia was high in youth.The perforating injury was the most common exciting factor(88.00%) More wounds were at corneal limbus(59.32%). The latent period in 2 - 8 weeks was more common(47.89%). The younger patients and cases of latent period in 8 weeks-1 year were more likely to have sign of posterior segment.Conclusion The incidence of sympathetic ophthalmia is related with age,injury and latent period. The sign of posterior segment is related with age and latent period.