The treatment of traumatic endophthalmitis with vitrectomycombined with silicone oil injection in eyes without retinal detachment

Objective To explore the effects of vitrectomy combined with silicone oil injection in the treatment of traumatic endophthalmitis in eyes without retinal detachment,and analyze the relative factors.Methods Eighteen eyes(18 patients) of traumatic endophthalmitis without retinal detachment received the treatment of vitrectomy combined with silicone oil injection.Silicone oil was removed 6 months postoperatively in 10 eyes,and intraocular lens implantations were performed in 6 of 10 eyes in the meantime.Preoperative visual acuity ranged from light perception to 0.1.The mean preoperative intraocular pressure was 9 mmHg with a range from 5 to 23 mmHg.Follow-up ranged from 3 to 43 months with a mean of 18 months.Results The postoperative visual acuity ranged from hand moving to 0.8. The vision increased in 15 eyes(83.33%),and was stable in 3 eyes((16.67%).The) mean postoperative intraocular pressure was 17 mmHg with a range from 10 to 20 mmHg, and was significantly higher than preoperative one(P0.05). There was no retinal detachment and ocular atrophy. Postoperative complications mainly included fibrosis exudates in the anterior chamber(16 eyes) and temporary intraocular pressure elevation(3 eyes).Conclusion Vitrectomy combined with silicone oil injection is a safe and effective method in treating traumatic endophthalmitis in eyes without retinal detachment.