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目的总结眼高压油管及高压油击伤的临床特点以及正确处理此类眼外伤的经验,为今后的防治提出建设性的意见。方法对71例(83眼)眼高压油管及高压油击伤患者的临床资料进行回顾性研究。结果71例(83眼)眼外伤患者,治疗前盲目23眼,盲目率为27.71%;治疗后盲目9眼,盲目率为10.84%。眼部并发症有外伤性白内障28眼,占33.73%;继发性青光眼13眼,占15.66%;角膜白斑2眼,占2.41;视神经萎缩7眼,占8.43%;交感性眼炎1眼,占1.20%;眼球萎缩5眼,占6.02%;眼球摘除2眼,占2.41%。结论两种致伤物所造成的眼部损害有较大区别;伤后及时、正确地处理,可以有效地降低致盲率;此类眼外伤的防治应以预防为主,防治结合。
OBJECTIVE: To summarize the clinical features of ocular hypertension tubing and high pressure oil injury and to experience the correct treatment of such ocular trauma, and to put forward constructive suggestions for future prevention and treatment. Methods The clinical data of 71 patients (83 eyes) with ocular hypertension and high pressure oil injury were retrospectively studied. Results 71 eyes (83 eyes) had ocular trauma and 23 eyes were blind before treatment. The blind rate was 27.71%. After blind treatment, 9 eyes had blindness rate of 10.84%. There were 28 eyes with traumatic cataract (33.73%), 13 eyes with secondary glaucoma (15.66%), 2 eyes with corneal leukoplakia (2.41%), 7 eyes with optic atrophy (8.43%), 1 eye with sympathetic ophthalmia Accounting for 1.20%; eye atrophy 5 eyes, accounting for 6.02%; enucleation 2 eyes, accounting for 2.41%. Conclusions The two types of injury caused by eye injury have a greater distinction; timely and proper treatment after injury, can effectively reduce the blindness rate; prevention and treatment of such ocular trauma should be based on prevention, prevention and treatment combined.