Clinical analysis on characteristics of infective endophthalmitis due to sharp material injury in children and juveniles

中华眼外伤职业眼病杂志 Pub Date : 2019-12-25 DOI:10.3760/CMA.J.ISSN.2095-1477.2019.12.003

Han Shaolei, W. Tingting, Xin Liuqing, Jia Jinchen

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Abstract

Objective To analyze the clinical characteristics of infective endophthalmitis due to sharp material injury in children and juveniles. Methods A retrospective study. The data of 42 eyes of 42 children with infective endophthalmitis caused by sharp material injury from Jan. 2012 to Dec. 2017 in Hebei Provincial Eye hospital were analyzed. All patients were followed up for 12 months after surgery. Results There were 35 males and 7 females. The age ranged 1 to 18 years, with average of (7.04±3.97) years. The cause of sharp material injury in preschool group were mainly scissors, learning instrument in the school age group, and iron wire in the juveniles group. The most common clinical characteristics was traumatic cataract. Preoperative visual acuity was no light perception (NLP) in 2 cases, light perception (LP)-hand movement (HM) in 32 cases, counting finger (CF)-0.04 in 4 cases, 0.05-0.25 in 2 cases, 0.3-0.5 in 2 cases. Postoperative visual acuity was NLP in 2 cases, LP-HM in 18 cases, CF-0.04 in 13 cases, 0.05-0.25 in 5 cases, 0.3-0.5 in 2 cases, ≥0.6 in 2 cases. The difference was statistically significant between before and after surgery(Z=2.248, P=0.025). Conclusion Scissors, learning instrument and iron wire are the most common causes of infective endophthalmitis due to sharp material injury in preschool, school-age children and juveniles, respectively. Intravitreal injection and vitrectomy are the best treatment for infective endophthalmitis in children and juveniles. Key words: Children, juveniles; Injury, sharp material; Endophthalmitis, infective

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儿童及青少年锐器伤致感染性眼内炎的临床特点分析

目的分析儿童及青少年锐器伤致感染性眼内炎的临床特点。方法回顾性研究。对2012年1月至2017年12月河北省眼科医院42例因锐器伤致感染性眼内炎患儿42只眼的资料进行分析。所有患者术后随访12个月。结果男性35例，女性7例。年龄1 ~ 18岁，平均(7.04±3.97)岁。幼稚组锐器伤的原因主要是剪刀，学龄组主要是学习器具，青少年组主要是铁丝。最常见的临床特征是外伤性白内障。术前视力无光感(NLP) 2例，光感(LP)-手部运动(HM) 32例，数指(CF)-0.04 4例，0.05 ~ 0.25 2例，0.3 ~ 0.5 2例。术后视力NLP 2例，LP-HM 18例，CF-0.04 13例，0.05-0.25 5例，0.3-0.5 2例，≥0.6 2例。术前与术后比较，差异有统计学意义(Z=2.248, P=0.025)。结论学龄前儿童、学龄儿童和青少年尖锐物伤致感染性眼内炎最常见的原因分别是剪刀、学习器具和铁丝。玻璃体注射和玻璃体切除术是治疗儿童和青少年感染性眼内炎的最佳方法。关键词:儿童;未成年人;伤害、尖锐材料;眼内炎、感染性

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