Objective: To evaluate the outcome and analyze the methods of surgical treatment of traumatic endophthalmitis following penetrating eye injuries with retained eye foreign bodies. Methods: A total of 62 consecutive cas...Objective: To evaluate the outcome and analyze the methods of surgical treatment of traumatic endophthalmitis following penetrating eye injuries with retained eye foreign bodies. Methods: A total of 62 consecutive cases (58 men, 4 women) from January 1999 to December 2001 with IOFBs following penetrating eye injuries were retrospectively studied. The ages ranged from 8 to 46 years (mean 23 years). Sixty patients (63 eyes) underwent pars plana vitreotomy and 1 patient underwent external magnet extraction. The follow up ranged from 3 to 36 months (mean 12.5 months). Results: Ten eyes developed endophthalmitis, among which 7 ( 10.94 %) were diagnosed preoperatively. The most frequently cultured organism was Staphylococcus epidermis ( 44.44 %, 4/9). Postoperatively, retinal detachment due to vitreoretinal proliferation occurred in 5 patients with endophthalmitis and in 9 patients without endophthalmitis. All the retinal detachments were reattached with additional vitreoretinal surgery. Two eyes with endophthalmitis and two without endophthalmitis were eviscerated. Conclusions: Post traumatic endophthalmitis with intraocular foreign bodies (IOFBs) deserves great attention because of its high incidence and poor prognosis. Vitrectomy is suggested for the treatment of IOFBs and its complications, and it should be performed as soon as possible. Routine intravenous administration of antibiotics combined with periocular injection and topical antibiotics postoperatively are recommended.展开更多
Objective： Considering the difficulty in classifying some cases with eye trauma by Birmingham Eye Trauma Terminology （BETT） in our epidemiological study, we introduce a new classification for epidemiological study ...Objective： Considering the difficulty in classifying some cases with eye trauma by Birmingham Eye Trauma Terminology （BETT） in our epidemiological study, we introduce a new classification for epidemiological study of mechanical eye injuries based on BETT. Methods： A retrospective investigation was carried out in 31 hospitals from January 2005 to December 2010. All medical records of inpatients with eye injuries were reviewed. A total of l0 718 patients （11 227 eyes） were diagnosed as mechanical eye injuries. All mechanical eye injuries were tried to be classified using BETT. While some eye injuries were difficult to categorize. We recorded the injury type and case number. A new classification based on BETT was also used for the same project. Results： Of 10 718 patients （11 227 eyes） with me- chanical eye injuries, the following cases cannot be classi- fied by BETT： 1 488 patients （1 559 eyes） with merely orbitalor ocular adnexa injury, 1 961 （2 054） globe injuries associ- ated with orbital or ocular adnexa injury, 271 （284） ocular surface foreign body （OSFB） or ocular wall foreign body （OWFB）, 77 （89） contusion, 9 （11） lamellar laceration asso- ciated with OSFB or OWFB, 29 （30） rupture associated with OSFB, OWFB or intraocular foreign body and 60 （62） lace- ration associated with OSFB or OWFB. While according to our new classification, all eye injuries can be categorized without any difficulty. Conclusion： Difficulty in classifying some eye injuries in epidemiological study by BETT brings some trouble to our study, which can be solved by our new eye injury clas- sification to some extent. It is hoped that other ophthal- mologists present better ones to make the classification more perfect.展开更多
文摘Objective: To evaluate the outcome and analyze the methods of surgical treatment of traumatic endophthalmitis following penetrating eye injuries with retained eye foreign bodies. Methods: A total of 62 consecutive cases (58 men, 4 women) from January 1999 to December 2001 with IOFBs following penetrating eye injuries were retrospectively studied. The ages ranged from 8 to 46 years (mean 23 years). Sixty patients (63 eyes) underwent pars plana vitreotomy and 1 patient underwent external magnet extraction. The follow up ranged from 3 to 36 months (mean 12.5 months). Results: Ten eyes developed endophthalmitis, among which 7 ( 10.94 %) were diagnosed preoperatively. The most frequently cultured organism was Staphylococcus epidermis ( 44.44 %, 4/9). Postoperatively, retinal detachment due to vitreoretinal proliferation occurred in 5 patients with endophthalmitis and in 9 patients without endophthalmitis. All the retinal detachments were reattached with additional vitreoretinal surgery. Two eyes with endophthalmitis and two without endophthalmitis were eviscerated. Conclusions: Post traumatic endophthalmitis with intraocular foreign bodies (IOFBs) deserves great attention because of its high incidence and poor prognosis. Vitrectomy is suggested for the treatment of IOFBs and its complications, and it should be performed as soon as possible. Routine intravenous administration of antibiotics combined with periocular injection and topical antibiotics postoperatively are recommended.
文摘Objective： Considering the difficulty in classifying some cases with eye trauma by Birmingham Eye Trauma Terminology （BETT） in our epidemiological study, we introduce a new classification for epidemiological study of mechanical eye injuries based on BETT. Methods： A retrospective investigation was carried out in 31 hospitals from January 2005 to December 2010. All medical records of inpatients with eye injuries were reviewed. A total of l0 718 patients （11 227 eyes） were diagnosed as mechanical eye injuries. All mechanical eye injuries were tried to be classified using BETT. While some eye injuries were difficult to categorize. We recorded the injury type and case number. A new classification based on BETT was also used for the same project. Results： Of 10 718 patients （11 227 eyes） with me- chanical eye injuries, the following cases cannot be classi- fied by BETT： 1 488 patients （1 559 eyes） with merely orbitalor ocular adnexa injury, 1 961 （2 054） globe injuries associ- ated with orbital or ocular adnexa injury, 271 （284） ocular surface foreign body （OSFB） or ocular wall foreign body （OWFB）, 77 （89） contusion, 9 （11） lamellar laceration asso- ciated with OSFB or OWFB, 29 （30） rupture associated with OSFB, OWFB or intraocular foreign body and 60 （62） lace- ration associated with OSFB or OWFB. While according to our new classification, all eye injuries can be categorized without any difficulty. Conclusion： Difficulty in classifying some eye injuries in epidemiological study by BETT brings some trouble to our study, which can be solved by our new eye injury clas- sification to some extent. It is hoped that other ophthal- mologists present better ones to make the classification more perfect.
