论文部分内容阅读
目的 本文观察 2 82例眼钝位对房角损伤所致房角后退的各种状态 ,并探讨房角后退与前房出血及青光眼的关系。方法 应用Goldmann前房角镜 ,检查 2 82例眼钝伤的双眼前房角 ,观察房角后退的各种形态 ,根据Howard等的分类法将房角后退分成浅 (Ⅰ度 ) ,中 (Ⅱ度 ) ,深 (Ⅲ度 )三度 ,并以圆周 0～ 3 60°范围作记录。结果 各种原因所致 2 82例钝伤眼中 ,2 67眼有房角后退占94 68% ,其中Ⅰ度房角后退 1 1 9眼 (4 4 5 7% ) ,Ⅱ度 95眼 (3 5 5 8% ) ,Ⅲ度 5 3眼 (1 9 85 % )。有前房出血记录者 1 98眼 (70 2 1 % ) ,全部有房角后退。在房角后退的 2 67眼中 ,41眼有眼压升高 ,其中1 7眼房角后退为唯一原因 ,眼压升高均发生在 1年内 ,大部分在 1周内。其中 1 6眼经药物治疗后 1年内眼压恢复正常 ,1眼手术治疗。结论 眼钝伤做房角镜检查 ,有利于发现房角损伤 ,并综合各种损伤分析病情 ,指导临床治疗。若发现房角后退 >1 80°时 ,有可能发生青光眼 ,应定期随诊
Objective This article observes 2 82 cases of eyes of blunt angle on the corner angle caused by the retreat of various states and to explore the angle of retreat and the relationship between anterior chamber hemorrhage and glaucoma. Methods Goldmann gonioscopy was used to examine the anterior chamber angle of 2 82 eyes with blunt traumatic injury. The angle of retrograde angle was observed. According to the classification by Howard et al, the angle was retrograded into shallow (Ⅰ degree), moderate (Ⅱ) Degree), deep (Ⅲ degree) third degree, and the range of 0 ~ 3 60 ° for the record. Results Among 2 82 eyes with dull eyes, 67 eyes had retrospective angles of view (94 68%), of which 1 9 eyes (457%) had retrospective angle, 95 eyes (95% 5 8%), Ⅲ degree 53 eyes (1 855%). There were 1 98 eyes (70 2 1%) of the anterior chamber bleeding records, all with atrial back. In 2 67 eyes retreated, 41 eyes had elevated intraocular pressure, of which only 17 eyes had retreat. The intraocular pressure (IOP) occurred within 1 year, mostly in 1 week. Intraocular pressure returned to normal within 1 year after treatment in 16 eyes and 1 eye was surgically treated. Conclusion Blunt traumatic angle gonioscopy, is conducive to the discovery of corner injury, and comprehensive analysis of various injuries condition, to guide clinical treatment. If you find that the angle of retreat> 180 °, glaucoma may occur, should be followed up regularly