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目的:评价玻璃体视网膜手术治疗外伤性感染性眼内炎的临床疗效。方法:回顾性分析经玻璃体视网膜手术治疗的22例22眼外伤性感染性眼内炎的临床资料。结果:随访1年,大部分病例保持了眼球外形和一定的视力,视力在0.04~0.111例11眼(占50.0%),>0.1~0.37例7眼(占31.8%),>0.3~0.52例2眼(9.1%),1例术后炎症仍未能控制而行眼球摘除I期羟基磷灰石义眼植入,1例术后继发性视网膜脱离患者因经济原因放弃治疗。结论:玻璃体视网膜手术是治疗外伤性感染性眼内炎的最有效方法,屈光间质不清是影响手术预后的重要因素,早期诊断、及时有效治疗是保存患眼、挽救视力的关键。
Objective: To evaluate the clinical efficacy of vitreoretinal surgery in the treatment of traumatic endophthalmitis. Methods: The clinical data of 22 cases of traumatic endophthalmitis in 22 eyes treated by vitreoretinal surgery were analyzed retrospectively. Results: The follow-up of 1 year, the majority of cases maintained the eye shape and a certain visual acuity, visual acuity ranged from 0.04 to 0.111 in 11 eyes (50.0%), more than 0.1 to 0.37 in 7 eyes (31.8%) and 0.3 to 0.52 2 eyes (9.1%), 1 case of postoperative inflammation was still unable to control the eye removal I hydroxyapatite phantom implantation, 1 case of patients with secondary retinal detachment for economic reasons to give up treatment. Conclusion: Vitreoretinal surgery is the most effective method for the treatment of traumatic endophthalmitis. Infusion interstitial fluid is an important factor affecting the prognosis of surgery. Early diagnosis and timely effective treatment are the key to preserve the affected eyes and save eyesight.