Clinical observation of 44 cases of traumatic endophthalmitis

Objective To explore the clinical treatment effect of traumatic endophthalmitis. Methods Retrospective cross-sectional study. Clinical records of 44 patients (32 eyes of 32 cases in men and 12 eyes of 12 cases in women) with traumatic endophthalmitis in our hospital were reviewed between January 2010 and January 2016, which included 29 eyes of penetrating injury and 15 eyes of ocular rupture. Preoperative visual acuity was no light perception to 0.8. Thirty-four eyes were treated vitrectomy (12 eyes combined with intraocular foreign body removal). Three eyes were treated vitrectomy after intraocular vitreous cavity injection. Three eyes were treated intraocular vitreous cavity injection. Two eyes were treated only drugs. Two eyes were treated removal of eye contents. In the 34 eyes treated vitrectomy, 36 eyes were injected with silicone oil and 1 eye was injected with C3F8. The patients were followed up for 6 months to 1 year. Results Retina of 32 eyes was reattached and inflammation was controlled in 34 eyes. Eye condition of eleven eyes was stable after removal of silicone oil in 36 eyes. The eye shape was maintained with silicone oil in 25 eyes, of which 10 eyes had poor retinal reattachment. Two eyes were ocular prosthesis. Conclusions Traumatic endophthalmitis is affected by a variety of factors. The prognosis of traumatic endophthalmitis is determined by the nature of the injury, the severity, the treatment measures. The patient can save vision, if early to take active treatment. Key words: Ocular trauma; Endophthalmitis