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目的 分析儿童外伤性眼内炎玻璃体切割手术后的治疗效果及影响因素。方法 对 1 7例(1 7眼 )儿童外伤性眼内炎的致伤原因、致伤物、性别、年龄、就诊时间、临床表现、治疗方式及效果进行回顾性分析。结果 1 7例患儿中因延迟就诊 ,病情进展为全眼球炎而行眼内容物剜除术 3例 ,1 4例急诊行玻璃体切割术。术后随访 3～ 6月 ,视力 0 3与 0 7各 1例 ,0 0 2～ 0 0 5者 3例 ,光感～0 0 2者 9例 ;玻璃体切割术后发生低眼压 4例 ,占 2 8 5 %。结论 儿童外伤性眼内炎玻璃体切割手术后治疗效果与眼内炎的程度、就诊是否及时、致病菌毒力大小有关。术后发生低眼压的原因可能与炎症形成睫状体膜、前部增生性玻璃体视网膜病变及硅油填充有关。
Objective To analyze the therapeutic effect and influencing factors of traumatic endophthalmitis after vitrectomy in children. Methods Retrospective analysis was made on the causes of injury, sex, age, treatment time, clinical manifestations, treatment modalities and effects of traumatic endophthalmitis in 17 children (17 eyes). Results Seventeen children underwent delayed vitrectomy and the disease progression was all-eye inflammation. Three patients underwent intraocular lens ablation and 14 underwent vitrectomy. The patients were followed up for 3 to 6 months. There were 1 case of visual acuity 0 3 and 0 7, 3 cases of 0 0 2 ~ 0 0 5, 9 cases of sensation 0 0 2, 4 cases of low intraocular pressure after vitrectomy, Accounting for 285%. Conclusion The treatment effect of traumatic endophthalmitis after vitrectomy is related to the degree of endophthalmitis, whether the treatment is timely and the pathogenic bacteria virulence. Postoperative hypotony may be related to the formation of ciliary body inflammation, anterior proliferative vitreoretinopathy and silicone oil filling.