Endophthalmitis in war and peace penetrating eye injuries

Miroslav Vukosavljevic, Zoran Slavkovic
2006 Vojnosanitetski Pregled  
Vojnomedicinska akademija, *Klinika za očne bolesti, † Klinika za anesteziologiju i intenzivnu terapiju, Beograd Apstrakt Uvod/Cilj. Povrede oka su danas u svetu jedan od najčešćih uzroka jednostranog obolevanja oka i slepila. Cilj ove studije bio je komparativna analiza učestalosti endoftalmitisa kod mirnodopskih i ratnih povreda oka. Metode. Svim bolesnicima rađena su detaljna oftalmološka ispitivanja, primarna obrada rane (ako nije bila urađena), antibiotska profilaksa i vitrektomija pars
more » ... itrektomija pars plana, a i druge hirurške intervencije koje su bile neophodne. Rezultati. Od 1991. do 1998. god. primljeno je 647 bolesnika sa povredom oka, od čega je njih 500 bilo sa penetratnim ratnim povredama oka. Tokom l999−2004. je takođe bilo zbrinuto 611 bolesnika sa povredom oka, od čega 297 sa penetrantim povredama oka. Od 500 bolesnika sa penetrantnim povredama oka iz perioda ratnih dejstava, kod 286 povreda oka nađena su intrabulbarna strana tela (IBST). Znaci endoftalmitisa uočeni su već prilikom prijema kod 26 povreda oka (5,2%). Od ukupno 297 penetrantnih povreda oka zbrinutih u periodu 1999−2004. god. sa IBST je bilo 196 (66%), a bez IBST 101 (34%). Učestalost endoftalmitisa kod mirnodopskih trauma nastalih u tom periodu je bila 8,4% (25 povreda oka). Zaključak. Procenat posttraumatskog endoftalmitisa kod naših bolesnika sa ratnom traumom relativno je mali, čak manji nego kod mirnodopskih povreda oka. Ključne reči: oko, penetrantne povrede; endoftalmitis; medicina, ratna; slepilo; vid, oštrina. Abstract Background/Aim. Nowadays, eye injuries are a leading cause of one-eye disease or blindness worldwide. The aim of this study was to comparatively analyze the frequency of endophthalmitis following war and peace eye injuries. Methods. All the patients went throught the detailed ophthalmologic examinations, prophylactic antibiotic treatment, and pars plana vitrectomies (VPP), or other required surgical interventions. Results. Inside the period from 1991 to 1998, 647 patients with eye injuries were hospitalized, out of which 500 with penetrating eye injuries. In the period 1999−2004, 611 patients with eye injuries, were treated, out of which 297 had penetrating eye injuries. Out of 500 patients with war penetrating eye injuries, in 286 of the cases intrabulbar foreign bodies (IFB) were detected. The signs of endophthalmitis were observed in 26 eyes (5.2%) at admission. Out of totally 297 peace penetrating eye injuries, 196 (66%) were IBF. In 25 eyes (8.4%) endophthalmitis was observed. Conclusion. In our study, the frequency of posttraumatic endophthalmitis following penetrating war eye injuries was relatively low, even lower than the frequency of endophthalmitis following peace eye injuries.
doi:10.2298/vsp0603257v pmid:16605191 fatcat:t3qyrbiyz5fr3knnezoszjtlym