Department of Ophthalmology, School of Medicine, University of Tehran, Iran.
Injury. 2009 May;40(5):545-7. doi: 10.1016/j.injury.2007.08.039. Epub 2008 Feb 20.
This retrospective case series reviews the characteristics, complications and epidemiology of penetrating needle eye injury treated at a referral eye centre in Tehran, over 5 years. The medical records of 27 patients were evaluated. Mean age of patients was 17.41+/-18.69 years; 63% were less than 12 years old. Accident was the cause of 61.5% of injuries, and 55% of injuries occurred at home. Endophthalmitis ensued in 22.2% and cataract in 51.9% of cases. Pars plana vitrectomy was performed for 25.9% of patients. There was no association between endophthalmitis and iris prolapse, zonal involvement, vitreous haemorrhage, traumatic cataract or visual acuity >20/200 on admission, but endophthalmitis was associated with absence of hyphaema at presentation. Families and children should be educated about the dangers of needles.
本回顾性病例系列研究回顾了在德黑兰一家转诊眼科中心治疗的穿透性针眼损伤的特征、并发症和流行病学情况，时间跨度为 5 年。评估了 27 名患者的病历。患者的平均年龄为 17.41+/-18.69 岁；63%的患者年龄小于 12 岁。61.5%的损伤是由事故引起的，55%的损伤发生在家里。22.2%的病例发生眼内炎，51.9%的病例发生白内障。25.9%的患者接受了玻璃体切除术。眼内炎与虹膜脱出、区域性受累、玻璃体积血、外伤性白内障或入院时视力>20/200 之间无相关性，但眼内炎与就诊时无前房积血有关。应向家庭和儿童宣传针的危险。
