外伤致视网膜脱离的法医学鉴定  

Medicolegal expertise of trauma induced retinal detachment

作　　者：常海敏[1] 徐宝福[1] 孙许朋[1] 

机构地区：[1]新乡医学院法医临床学教研室,453003

出　　处：《中华眼外伤职业眼病杂志》2012年第4期280-281,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼外伤致视网膜脱离的法医学鉴定。方法回顾性分析经鉴定的42例眼外伤致视网膜脱离的临床改变，分析其发病机制及鉴别要点。结果42例外伤致视网膜脱离主要表现为玻璃体积血，其次为虹膜根部断离、晶状体脱位、眼睑挫裂伤、前房积血，各3例；其他表现为玻璃体内异物、脉络膜脱离、外伤性白内障，外伤性增生性视网膜病变等。结论外伤致视网膜脱离的临床法医学鉴定应结合患者临床表现及患者眼部检查结果、在患者已经进行有效治疗后进行，遵循“诊断明确、进行相关治疗及病情稳定后鉴定”的原则。Objective To investigate the medicolegal expertize of trauma induced retinal detachment. Methods Clinical manifestations were retrospectively analyzed in 42 cases with trauma induced retinal detachment. The pathogenesis was analyzed and main points were determined. Results In 42 cases with trauma induced retinal detachment, the clinical manifestation was mainly vitreous hemorrhage, followed by iridodialysis, luxation of lens, laceration of eye lid, hyphema, and each manifestation was found in 3 cases. The other manifestations were foreign body in vitreous, detachment of choroid, traumatic cataract, traumatic proliferative retinopathy, etc. Conclusion The medicolegal expertise of trauma induced retinal de- tachment should combine with the clinical manifestations and examination results of eye. If the patients have taken effective treatment, we should obey the principle as definite diagnosis, identification after relative treatment and pathogenetie condition becoming stable.

关 键 词：眼外伤 视网膜脱离 法医学鉴定 

分 类 号：D919.4[医药卫生—法医学] R774.12[政治法律—法学]