眼外伤后眼压增高法医学鉴定32例分析  

Forensic Medical Analysis on 32 Cases of Ocular Hypertension Induced by Blunt Ocular Injuries

作　　者：李红心[1] 

机构地区：[1]淮南市公安局刑事警察支队,安徽淮南232001

出　　处：《中国司法鉴定》2010年第5期64-66,共3页Chinese Journal of Forensic Sciences

摘　　要：目的分析眼部钝性外伤后眼压增高的原因及其特点,探讨法医学鉴定要点。方法选取资料完整的眼部钝性外伤后眼压增高鉴定案例32例,总结其眼压增高出现及持续时间、眼压增高的程度、主要临床表现、临床治疗方法及愈后视力、视野检查结果,分析其中的相关性。结果本组眼外伤后眼压增高者的临床表现包括外伤性虹膜睫状体炎、前房积血、晶体脱位与玻璃体积血等。虹膜睫状体炎导致的外伤后眼压增高持续时间短、程度轻,多不遗留严重后遗症;前房积血、玻璃体积血及晶体脱位等引发的眼压增高,则与其本身伤情的严重和广泛程度密切相关。结论对于眼外伤后眼压增高的鉴定,应重视:(1)眼压增高出现和持续的时间、增高的程度;(2)相关的临床治疗经过;(3)愈后的视觉功能状况,包括视力和视野检查结果;(4)分析导致眼压增高的原因及其与外伤的关系。Objective To analyze pathological characters of ocular hypertension induced by blunt ocular injuries and to explore the method of forensic medical identification.Methods 32 cases of ocular hypertension induced by blunt ocular injuries with complete medical records were collected.The ocular hypertension appearing time, duration, degree, main clinical manifestation, clinical treatment and prognosis for vision and visual field were analyzed.Results Clinical situations of ocular hypertension induced by blunt injuries include traumatic iridocyclitis, hyphema, luxation of lens, vitreous hemorrhage, etc.Ocular hypertension induced by Iridocyclitis after ocular injuries often appears shorter duration and lighter degree, usually without serious sequel.Ocular hypertension induced by hyphema, vitreous hemorrhage or luxation of lens usually correlates with damages.Conclusions This study enumerates several key points in identifying ocular hypertension caused by ocular injuries：（1）Ocular hypertension appearing time, duration and pressure degree; （2）Correlative clinical therapy; （3）Prognosis for visual performance including results of visual testing and perimetry; （4）Relationship between the cause of ocular hypertension and trauma.

关 键 词：法医临床学 眼外伤 钝性 眼压 继发性青光眼 

分 类 号：D919.4[医药卫生—法医学]