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Wydanie 2/2008

Zapalenie wnętrza gałki ocznej jako powikłanie urazów spowodowanych ciałami obcymi wewnątrzgałkowymi

Endophthalmitis as a Complication of Ocular Injuries Caused by Intraocular Foreign Bodies

Katarzyna J. Napora¹, Iwona Obuchowska¹, Radosław Żywalewski², Aneta Sidorowicz¹, Anna Bryl-Przybylska¹, Zofia Mariak¹

¹ Klinika Okulistyki Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. n. med. Zofia Mariak
² Oddział Chorób Oczu Wojewódzkiego Szpitala Zespolonego w Białymstoku
Ordynator: dr n. med. Bogusław Żywalewski

Summary: Purpose: To identify the frequency and risk factors of endophthalmitis development in eyes with injuries caused by foreign bodies. Material and methods: This study analyzed 58 patients with penetrating eye injuries caused by foreign bodies. Study group contained 57 men and 1 woman in the age range from 18 to 70 years, who were treated in the Department of Ophthalmology in Bialystok between 1997 and 2006. We selected 17 patients (subject group) with endophthalmitis from that group. The remaining patients were selected to form a control group. Cases were examined according to the age, gender, time between injury and surgical procedure, type, number and location of foreign bodies, developing complications and type of treatment. Statistical analysis was performed with Chi2 test. Results: Occurrence of posttraumatic endophthalmitis developing in 29.3% cases was associated with foreign body removal later than 72 hours following trauma and with the foreign body left in the orbit. In neither group did we note statistically significant differences in the cause for the trauma, or type, number and location of foreign bodies. Patients with endophthalmitis had 2.5 times more frequent loss of vision. Conclusions: 1. Penetrating eye injury caused by a foreign body is the high risk factor for endophthalmitis development. 2. Time between injury and treatment is very significant in endophthalmitis development. 3. Foreign body left in the orbit is the high risk factor of endophthalmitis development. 4. Gender, age, reason of the trauma, type and location of the foreign body do not influence endophthalmitis development. 5. Patients with endophthalmitis have more frequent vision loss.

Keywords: endophthalmitis, injury, foreign body

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