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外伤性一过性近视的临床观察 被引量:4

Transient myopia due to blunt ocular trauma
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摘要 目的:观察外伤性一过性近视的临床特点和预后。方法:对20例(25眼)外伤性一过性近视患者的临床资料进行回顾性分析。结果:小瞳检影验光发现所有外伤眼均存在近视,其中84%的外伤眼表现为轻、中度近视。睫状肌麻痹剂散瞳后验光发现所有外伤眼的近视度数均显著减轻。经合适的凹透镜矫正后所有外伤眼视力均可达1.0。对症治疗后4周内所有外伤眼的视力均恢复至≥1.0。结论:外伤性一过性近视病程短,对药物治疗反应好,且预后佳。 Objective: To identify the characteristics of and predict the prognosis for transient myopia due to blunt ocular tranuma.Methods: The clinical data of 20 patients (25 eyes) with transient myopia due to blunt ocular traums was reviewed,Results: When noncycloplegic retinoscopy was used to examine patients, all of the traumatic eyes showed myopia, 84% of which was mild or moderate. The severity of myopia for the traumatic eyes showed a drematic decrease when mydriatic drops were used. and, with the help of proper negative lenses, traumatic myopia could be corrected to normal vision. After medical treatraent with mydriatic eye drops consisting of 0.1% dexamethasone, all myopic eyes due to blunt trauma showed good recovery. Complete recovery was achieved within 4 weeks. Best corrected Snellen visual acuity recovered to pre-traumatic levels of 1.0 or better. Conclusion:Transient myopia due to blunt ocular trauma was mainly mild or moderate, showed good response to medical treatment and had a benign prognosis.
出处 《眼视光学杂志》 2005年第3期207-208,共2页 Chinese Journal of Optometry & Ophthalmology
关键词 眼外伤/治疗 一过性近视/诊断 一过性近视/治疗 ocular trauma/therapy myopia/diagnosis myopia/therapy
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  • 1吴航.眼科主治医生390问(第1版)[M].北京:北京医科大学中国协和医科大学联合出版社,1998.225-226.

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