儿童开放式眼球伤  

Open-globe injuries in children

作　　者：黎蕾[1] 陆国生[1] 

机构地区：[1]上海医科大学眼耳鼻喉科医院眼科,200031

出　　处：《中国眼耳鼻喉科杂志》1998年第2期39-42,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的:探讨影响儿童开放式眼球伤预后的因素,新技术在治疗方面的应用及其与视功能恢复的关系。方法:回顾性分析了72例儿重开放式眼球伤的临床资料,对其中41例的治疗效果进行了统计分析。结果:经过治疗,视力≥0.5,由14.63%上升到36.59%,而致盲率由53.66%下降到29.77%(0.05>P>0.01)。结论:儿童开放式眼球伤的预后与伤口大小、是否伴有其他眼部损伤有关;显微伤口缝合、白内障和玻璃体视网膜手木提高了疗效;术后还需要对无晶体、弱视和散光进一步治疗。To study the prognostic factors and the new techniques in the management of open-globe injuries in children. Mcthods:72 eyes of consecutive patients with open-globe injuries were retrospectively reviewed, and 41 eyes among these were statistically analyzed. Results:After treatment,the percentage of patients who achieved visual acuity 0.05 or better increased from 14.63% to 36.59% and the incidence of blindness decreased from 53.66% to 29.77% (0.05>P>0.01). Conclusions: visual outcome is dependent on the size of the wound as well as the extent of intraocular injury. It would improve the visual outcome with the microsurgical repair of wound, ECCE or lensectomy and vitreoretinal surgery as well as the treatment of aphakia,amblyopia and astigmatism postoperatively.

关 键 词：开放式眼球伤 儿童 

分 类 号：R76[医药卫生—耳鼻咽喉科] R77[医药卫生—临床医学]