中国南方眼内异物相关性眼内炎的发病率及危险因素
Incidence and Risk Factors of Intraocular Foreign Body-Related Endophthalmitis in Southern China.
作者信息
Duan Fang, Yuan Zhaohui, Liao Jingyu, Zheng Yongxin, Yang Yao, Lin Xiaofeng
机构信息
Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou 510060, China.
出版信息
J Ophthalmol. 2018 Sep 30;2018:8959108. doi: 10.1155/2018/8959108. eCollection 2018.
PURPOSE
To investigate the incidence and risk factors of intraocular foreign body- (IOFB-) related endophthalmitis.
METHODS
A total of 1701 patients diagnosed with IOFB between January 1, 2005 and June 30, 2015 were included. Two groups of patients were defined according to the presence or absence of endophthalmitis, and a comparison of personal information, IOFB characteristics, and wound location were performed.
RESULTS
In total, 279 patients (16.4%) developed endophthalmitis, older age (=0.01) was a risk factor. IOFBs retained in the crystal lens or wall of the eyeball conferred lower risks (=0.01 and 0.04, respectively) compared to the vitreous chamber. The coexistence of different IOFB types and plant IOFBs conferred higher risks (=0.02 and 0.03, respectively), while glass/plastic IOFBs conferred a lower risk (=0.03) compared to metallic IOFBs.
CONCLUSIONS
Age, IOFB locations, and types were related to development of endophthalmitis, while IOFB number, size, or timing of primary repairs was not related.
目的
探讨眼内异物（IOFB）相关性眼内炎的发病率及危险因素。
方法
纳入2005年1月1日至2015年6月30日期间诊断为IOFB的1701例患者。根据是否发生眼内炎将患者分为两组，并对个人信息、IOFB特征及伤口位置进行比较。
结果
共有279例患者（16.4%）发生眼内炎，年龄较大（=0.01）是一个危险因素。与玻璃体腔相比，残留在晶状体或眼球壁的IOFB导致的风险较低（分别为=0.01和0.04）。不同类型IOFB与植物性IOFB并存导致的风险较高（分别为=0.02和0.03），而与金属性IOFB相比，玻璃/塑料IOFB导致的风险较低（=0.03）。
结论
年龄、IOFB位置和类型与眼内炎的发生有关，而IOFB数量、大小或一期修复时间与之无关。
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