九大眼科における交感性眼炎の統計的観察

Clinical study of sympathetic ophthalmia in Kyushu University

　昭和21年（1946年）から58年（1983年）までの九大眼科における交感性眼炎を統計学的に観察し次のような結果を得た．

（1）交感性眼炎の総数は45例であり，最近10年は減少傾向であった．

（2）原因として外傷と手術はそれぞれ68％，32％であった．

（3）発症頻度は穿孔性眼外傷後0.34％であり，手術後0．056％であった．

（4）患者は20歳代男性に最も多く，10歳未満は最も少なかった．

（5）患者の81％は，外傷あるいは手術後3カ月以内に発症していた．

（6）眼外傷では強角膜穿孔が最も多く，毛様体部損傷を伴う症例が多かった．

（7）ステロイド治療により視力の予後はよく起交感眼も保存的療法が主体となっていた．

We reviewed the clinical features of 45 cases with sympathetic ophthalmia seen at our institution during a 38-year period (1946-83). There was a decrease in incidence foring the last 10 years. Per-forating trauma was responsible in 68% of the cases and surgical wound in 32%. Sympathetic ophthal-mia occurred in 0.34% of cases with perforating trauma and in 0.054%, of those after surgery. Sym-pathetic ophthalmia was most frequent in males during the third decade of life, apparently due to higher incidence of ocular injury. There was only one case less than 10 years of age. Sympathetic ophthalmia developed within 3 months after ocular injury or surgery. Corneoscleral perforation involv-ing the ciliary body was most liable to result in sympathetic ophthalmia. Systemic curticosteroidtreatment resulted in more favorable prognosis as to vision even in the exciting eyes, the majority of which could be spared from enucleation.