Jiang Tao, Jiang Jing, Wang Renping, Lei Jianlin, Zhou Yang
Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266003, China.
The Infectious Diseases Department, Eastern Branch of the Affiliated Hospital of Qingdao University, Qingdao, Shandong Province 266061, China.
Biomed Res Int. 2017;2017:5851318. doi: 10.1155/2017/5851318. Epub 2017 Jan 26.
. To evaluate visual outcomes and identify prognostic factors after pars plana vitrectomy (PPV) surgery for traumatic endophthalmitis. . Medical records of 121 consecutive patients (121 eyes) diagnosed with traumatic endophthalmitis that had undergone pars plana vitrectomy were retrospectively reviewed. . 121 patients, aged from 6 to 71 years, all underwent PPV surgery. 113 cases had improved best corrected visual acuity (BCVA) after surgery and 60% of them obtained BCVA better than fingers counting (FC). Good final visual prognosis was significantly associated with time between trauma and initial treatment less than 12 hrs (40% versus 98%; < 0.001), time between trauma and PPV treatment less than 24 hrs (62% versus 98%; < 0.001), laceration length less than 10 mm (63% versus 96%; < 0.001), and presenting VA better than LP (42% versus 96%; < 0.001), while gender, type of laceration, presence of IOFB or retinal detachment, and the use of silicone oil tamponade were not significant factors resulting in better BCVA. Bacteria were identified in 43.8% of specimens and most of the microorganisms were identified as nonvirulent ones. . Pars plana vitrectomy surgery was preferred as a primary treatment option for traumatic endophthalmitis. A good final visual prognosis was significantly associated with timely treatment, prompt vitrectomy surgery, shorter length of laceration, and better presenting visual acuity.
评估经平坦部玻璃体切除术（PPV）治疗外伤性眼内炎后的视力预后并确定预后因素。回顾性分析121例（121只眼）诊断为外伤性眼内炎并接受平坦部玻璃体切除术的连续患者的病历。121例患者年龄在6至71岁之间，均接受了PPV手术。113例患者术后最佳矫正视力（BCVA）有所改善，其中60%的患者BCVA优于指数（FC）。良好的最终视力预后与创伤至初始治疗的时间小于12小时（40%对98%；P<0.001）、创伤至PPV治疗的时间小于24小时（62%对98%；P<0.001）、裂伤长度小于10毫米（63%对96%；P<0.001）以及初始视力优于光感（LP）（42%对96%；P<0.001）显著相关，而性别、裂伤类型、眼内异物（IOFB）或视网膜脱离的存在以及硅油填充的使用并非导致更好BCVA的显著因素。43.8%的标本中鉴定出细菌，大多数微生物被鉴定为非致病性的。平坦部玻璃体切除术是外伤性眼内炎的首选主要治疗方法。良好的最终视力预后与及时治疗、及时进行玻璃体切除术、较短的裂伤长度以及较好的初始视力显著相关。
