方法：回顾性分析59例重症外伤性眼内炎病例，按手术时机不同分为两组，≤24h患者为A组； >24h为B组，均接受玻璃体切割联合硅油填充手术，观察两组患者术中视网膜情况、术后疗效及术后最佳矫正视力(best corrected visual acuity，BCVA)的区别。

结果：≤24h手术患者术中可见视网膜受损情况较轻，手术有效率更高，术后BCVA更佳。

结论：玻璃体切割手术联合眼内硅油填充是治疗重症眼内炎的有效方法，及早发现并及时手术治疗是减少视力受损程度的重要因素。

METHODS: Totally 59 patients(59 eyes)with severe infectious traumatized endophthalmitis accepted vitrectomy combined with silicone oil tamponade. Patients were divided into two groups by different surgical timing. Group A accepted operation in 24 hours. Group B accepted operation 24 hours after injury. Retina status during operation, clinical efficacy and best-corrected visual acuity were observed and recorded.

RESULTS: The cases of early operation group got lesser retina injury and higher efficacy and better best-corrected visual acuity.

CONCLUSION:Vitrectomy combined with silicone oil tamponade is an effective way to cure severe infected traumatized endophthalmitis. Early surgical treatment is the key to achieve better effect.