24例眼外伤继发性青光眼的临床分析

发布时间：2018-05-05 02:30

本文选题：青光眼 + 眼外伤　；参考：《中国现代医生》2015年12期

【摘要】：目的探讨眼外伤继发青光眼的发病原因、临床特征及防治措施,总结诊疗经验,提高该病的诊疗水平。方法对24例眼外伤继发青光眼(24眼)患者的临床资料进行回顾性分析,总结其治疗措施、临床表现及病因。结果根据致病成因以及临床表现,眼外伤所致继发性青光眼可以分为下述类型:房角挫伤6眼(24.0%);眼内出血8眼(33.3%);晶状体脱位或损伤7眼(28.0%);眼球穿通伤术后4眼(16.0%)。治疗后,随访2~7个月,眼压21 mm Hg 6例6眼(24.0%),6~21 mm Hg(1 mm Hg=0.133 k Pa)18例18眼(76.0%);患者视力状况:18例18眼视力上升(76.0%),5例5眼视力下降(20.8%)。术后1例1眼视网膜有脱落现象。本组患者治疗前平均眼压高达(40.7±3.4)mm Hg,积极治疗后眼压恢复正常水平,平均眼压为(15.2±4.4)mm Hg。结论在发生较为严重的眼外伤后,眼内组织常常损伤较为严重,由此导致的眼外伤继发性青光眼在治疗上更为困难。患者除眼压增高外,还有各种类型的并发症,对此我们应当积极采取措施,寻找对策。对于尚未发生或者情况不甚严重的患者,应当积极采取预防以及应对措施,防治病情的蔓延和恶化。
[Abstract]:Objective to investigate the causes, clinical features and prevention measures of secondary glaucoma secondary to ocular trauma, summarize the experience of diagnosis and treatment, and improve the diagnosis and treatment level of the disease. Methods the clinical data of 24 cases of secondary glaucoma (24 eyes) were retrospectively analyzed, and the treatment measures, clinical manifestation and etiology were summarized. The results were based on the cause of disease and clinical table. Secondary glaucoma caused by ocular trauma can be divided into the following types: 6 eyes (24%), 8 eyes of intraocular hemorrhage (33.3%), 7 eyes of lens dislocation or 7 eyes (28%), 4 eyes (16%) after eye penetrating injury. After treatment, 2~7 months are followed up, intraocular pressure 21 mm Hg 6 cases 6 eyes (24%), 6~21 mm Hg (1 mm Hg=0.133 K Pa); patients' visual acuity The visual acuity of 18 eyes (76%) in 18 cases (76%), 5 in 5 eyes (20.8%). Retinal detachment in 1 cases of 1 eyes after operation. The average intraocular pressure of this group was up to (40.7 + 3.4) mm Hg before treatment, and the intraocular pressure was restored to normal after active treatment. The average intraocular pressure was (15.2 + 4.4) mm Hg. conclusion that the intraocular tissues were often damaged after more severe ocular trauma. As a result, secondary glaucoma caused by ocular trauma is more difficult to treat. In addition to increased intraocular pressure, there are various types of complications. We should take active measures to find out the countermeasures. For patients who have not yet occurred or are not very serious, we should take precautions and Countermeasures to prevent the spread of the disease. And worsen.

【作者单位】：山东省邹平县人民医院眼科;
【分类号】：R775.3

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