目的小儿眼内炎由于诊断和治疗的困难,致盲率极高,本文预分析其可避免性。方法分析13例临床病例的受伤性质、首诊时间、处理方式与最终结果的关系。结果穿透性眼外伤致眼内炎早期容易漏诊,眼内炎的药物治疗效果差,应该及时作玻璃体手术。结论及时诊断眼内炎,早期玻璃体切除手术是避免致盲的最佳选择。 Objective Children endophthalmitis due to the difficulties of diagnosis and treatment, the blindness rate is extremely high, this article pre-analysis of its avoidability. Methods Thirteen cases were analyzed for the nature of the injury, the time of initial diagnosis, the way of treatment and the final result. Results Penetrating ocular trauma caused by early endophthalmitis easily missed diagnosis, endophthalmitis drug treatment is poor, should be promptly for vitreous surgery. Conclusion timely diagnosis of endophthalmitis, early vitrectomy is the best choice to avoid blindness.