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International Journal of Ophthalmology(English edition) 2017年第5期10卷 749-753页

作者： Yan-Ming Huang Hua Yan Jin-Hong Cai Hai-Bo Li Department of Ophthalmology Tianjin Medical University General Hospital Tianjin Neurological Institue Key Laboratory of Post-neuroinjury Neuro-repair and Regeneration in Central Nervous System Ministry of Education and Tianjin City Department of Ophthalmology Xiamen Eye Center Affiliated to Xiamen University

AIM：To introduce a novel approach in removal of anterior chamber angle foreign body（ACFB） using a prism contact lens and 23-gauge foreign body ***：Data of 42 eyes of 42 patients who had undergone removal of ACFB using a prism contact lens and 23-gauge foreign body forceps from January 2008 to October 2013 were collected and analyzed. Twenty eyes in group A received the conventional approach by using toothed forceps through corneal limbus incision, and 22 eyes in group B underwent the novel method through the opposite corneal limbus incision. RESULTS：The success rate of ACFB once removal was 75%（15/20） in group A, and 100%（22/22） in group B. The average operation time of group A was significantly longer compared with group B（34.9±9.88 min vs 22.13±8.85min; P〈0.05）. The average size of corneal limbus incision in group A was significantly larger than that of group B（4.85±1.89 mm vs 3.95±1.17 mm; P〈0.05）. The corneal limbus incision suturing were conducted in all eyes in group A, and only 5 eyes in group B. CONCLUSION：Removal of ACFB using a prism contact lens and 23-gauge foreign body forceps is a safer, more effective, and convenient technique compared with the conventional approach.

关键词： prism contact lens intraocular foreign body anterior chamber angle 23-gauge foreign body forceps

Endotamponades in pars plana vitrectomy for metallic intraocular foreign body associated with endophthalmitis

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International Journal of Ophthalmology(English edition) 2011年第1期4卷 95-99页

作者： Rui Wang Xing-Li Wang Yi Wang Shao-Jun Chen Xiao-Yong Huang Nan Wu and Xi Ying Department of Ophthalmology the Affiliated Southwest Hospital of Third Military Medical University Chongqing 400038 China

AIM: To study the criterion-reference of endotamponades in pars plana vitrectomy for metallic intraocular foreign body (MIOFD) associated with endophthalmitis. METHODS:Thirty-six patients of MIOFD with endophthalmitis accorded with Exclusion and inclusion criteria were retrospectively analyzed. A detailed analysis of the patients' natural factors, preoperative examinations, intraoperative endotamponades choice, postoperative complications and therapeutic effects was performed. RESULTS: BSS was used in 4 eyes without obvious retinal damage. There was no postoperative complication and their visual acuity (VA) was improved. Sixteen eyes that had mild retinal damage filled with C3F8 gas. The postoperative VA improved in 10 eyes (62.5%), 4 eyes (25.0%) remained unchanged and 2 eyes (12.5%) decreased. Only 2 cases occurred postoperative retinal detachment in gas group. Another 16 eyes with serious retinal damage were treated with silicone oil. Postoperative VA of 9 eyes (56.3%) improved, 3 eyes (18.8%) remained unchanged and 4 eyes (25.0%) decreased. The silicone oil group had higher incidence of postoperative complications, but the incidence of secondary treatment had no significant different between silicone oil and gas group. CONCLUSION: An appropriate choice of endotamponades in vitrectomy surgery for MIOFB with endophthalmitis is important for prognosis.

关键词： endophthalmitis intraocular foreign body open globe injury trauma vitrectomy endotamponade

Poor prognostic factors in post-traumatic endophthalmitis following open globe injury

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International Journal of Ophthalmology(English edition) 2020年第12期13卷 1968-1975页

作者： Sukhum Silpa-archa Akkaranisorn Dejkong Kwanchanoke Kumsiang Peranut Chotcomwongse Janine M Preble C.Stephen Foster Department of Ophthalmology Faculty of MedicineRajavithi HospitalRangsit UniversityBangkok 10400Thailand Department of Ophthalmology Kresge Eye Institute Wayne State University School of MedicineDetroitMichigan 48201USA Massachusetts Eye Research and Surgery Institution Massachusetts 02451USA Ocular Immunology&Uveitis Foundation WalthamMassachusetts 02451USA Harvard Medical School BostonMassachusetts 02115USAWalthamMassachusetts 02451USABostonMassachusetts 02115USA

AIM:To demonstrate prognostic factors for poor visual outcome in patients with post-traumatic endophthalmitis(PTE)following open globe ***:A retrospective study was conducted on 66 patients(66 eyes)with PTE following open globe injury from 2005 to *** factors accounting for good and poor visual outcome were statistically analyzed by Chisquare test and Logistic regression ***:In 66 cases,39 cases(59%)had a poor visual *** and multivariate Logistic regression analysis identified retained intraocular foreign body(IOFB)as the only factor significantly associated with poor visual outcome[adjusted odds ratio,4.62;95%confidence interval(1.04-20.53);P=0.04].The most common causative agents were gram-positive organisms(83%),of which Bacillus cereus(33%),was the most common *** cases received intravitreal antibiotic *** ciprofloxacin was the most used systemic antibiotic(33%).Pars plana vitrectomy was performed in 83%(55/66)of *** 6 mo follow-up,mean BCVA was 1.74±0.72 log MAR ***:In patients with PTE following open globe injury,the only predictor of poor visual outcome is the presence of *** cereus is the most isolated microorganism.

关键词： post-traumatic endophthalmitis open globe injury intraocular foreign body

Open globe injury in Hospital Universiti Sains Malaysia- a 10-year review

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International Journal of Ophthalmology(English edition) 2014年第3期7卷 486-490页

作者： Madhusudhan A/L Paramananda Evelyn-Tai Li Min Zamri Noordin Adil Hussein Wan-Hazabbah Wan Hitam Department of Ophthalmology School of Medical SciencesHealth Campus Universiti Sains Malaysia Kubang KerianKelantan 16150 Malaysia Hospital Universiti Sains Malaysia Kubang KerianKelantan 16150 Malaysia

AIM:To identify the aetiology of open globe injuries at Hospital Universiti Sains Malaysia over a period of 10y and the prognostic factors for visual ***:Retrospective review of medical records of open globe injury cases that presented from January2000 to December *** of open globe injury was based on the Birmingham Eye Trauma Terminology(BETT).Records were obtained with hospital permission via the in-house electronic patient management system,and the case notes of all patients with a diagnosis of open globe injury were *** with prior ocular trauma,pre-existing ocular conditions affecting the visual acuity,contrast sensitivity,central vision or corneal thickness,as well as those with a history of previous intraocular or refractive surgery were *** of data was with SPSS *** logistic regression analysis was used to examine the association between prognostic factors and visual ***:This study involved 220 patients(n=222eyes).The most common place of injury was the home(51.8%),followed by the workplace(23.4%).Among children aged less than 16y of age,domestic-related injury was the predominant cause(54.6%),while in those aged 16y and above,occupational injuries were the most common cause(40.0%).Most eyes(76.5%)had an initial visual acuity worse than 3/60,and in half of these,the visual acuity *** visual outcome was found to be significantly associated with the initial visual acuity(P<0.005),posterior extent of wound(P<0.001),length of wound(P<0.001),presence of hyphaema(P<0.001)and presence of vitreous prolapse(P<0.005).CONCLUSION:The most common causes of open globe injury are domestic accidents and occupational *** prognostic factors for final visual outcome in patients with open globe injury are initial visual acuity,posterior extent and length of wound,presence of hyphaema and presence of vitreous *** of the factors predicting

关键词： eye injuries occupational injuries vision disability visual impairment accidents intraocular foreign body