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创伤后眼内炎

Posttraumatic endophthalmitis.

作者信息

Brinton G S, Topping T M, Hyndiuk R A, Aaberg T M, Reeser F H, Abrams G W

出版信息

Arch Ophthalmol. 1984 Apr;102(4):547-50. doi: 10.1001/archopht.1984.01040030425016.

DOI:10.1001/archopht.1984.01040030425016
PMID:6704010
Abstract

Nineteen consecutive cases of culture-proved posttraumatic endophthalmitis occurred. Over an eight-year period, 19 (7.4%) of 257 patients with penetrating trauma had endophthalmitis develop, and 19 (31.1%) of 61 cases of endophthalmitis were due to trauma. Eleven (10.7%) of 103 patients with intraocular foreign bodies had endophthalmitis develop. Final visual acuity was 20/200 or better in eight (42.1%) of 19 and 20/30 or better in five (26.3%) of 19 cases of posttraumatic endophthalmitis. Organisms cultured were similar to those in the other types of endophthalmitis, except that Bacillus species were seen only in posttraumatic endophthalmitis (five [26.3%] of 19). Virulent organisms or retinal breaks or detachments seen at the time of primary repair indicated poor prognoses.

摘要

发生了19例经培养证实的创伤后眼内炎连续病例。在八年期间,257例穿透性创伤患者中有19例(7.4%)发生了眼内炎,61例眼内炎病例中有19例(31.1%)是由创伤引起的。103例眼内异物患者中有11例(10.7%)发生了眼内炎。19例创伤后眼内炎病例中,8例(42.1%)的最终视力为20/200或更好,5例(26.3%)为20/30或更好。培养出的微生物与其他类型眼内炎中的微生物相似,只是芽孢杆菌属仅在创伤后眼内炎中出现(19例中有5例[26.3%])。初次修复时发现的毒力强的微生物或视网膜裂孔或脱离提示预后不良。

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