摘要
目的分析合并青光眼的外伤性睫状体断离的临床特征以及治疗。方法回顾分析了2004年4月—2CHD8年3月，在北京同仁医院眼科中心就诊的14例（14眼）外伤性睫状体断离，入选标准为经超声生物显微镜（UBM）确认有睫状体断离，同时合并继发性青光眼，就其致伤因素、受伤后高眼压出现的时间、并发症以及治疗方法进行分析。结果6例爆竹炸伤。眼压范围22～73mmHg，受伤后到眼压升高发生的时间，最短为伤后1d，最长6周。伴有白内障9例，前房积血8例，晶状体半脱位8例，前房角后退7例。11例实施手术治疗，其中，7例实施睫状体复位手术。结论爆竹炸伤是常见致伤因素，最多见的合并体征是前房积血，高眼压出现的时间分布不一，治疗措施需个体化，部分患者不必进行睫状体复位手术。
Objective To investigate the clinical features of cyclodialysis cleft combined with ocular hypertension after trauma. Methods 14 case （14 eyes） reports were retrospectively reviewed, which attended in the department of ophthalmology of Beijing Tongren Hospital from April 2004 to March 2008. The recruit criteria was defined as that both eyclodialysis cleft and high intraocular pressure （IOP） can be confirmed at presentation. The etiology and clinical features, as well as the management of these cases were evaluated. Results 6 out of 14 eases caused by firecracker, the lOP ranges from 22 mmHg to 73 mmHg at presentation, the time from ocular trauma to onset of ocular hypertension ranged from one day to 6 weeks. 9 cases complicated with traumatic cataract, 8 cases presented with hyphema, 8 cases were found subluxatiou of lens, anterior angle recess were confirmed in 7 cases, 11 out of 14 cases were performed on varied surgical interventions, 7 out of the 11 cases underwent cyclopexy. Conclusion Firecracker was a predominant cause, most frequent signs accompanied were hyphema, the combined ocular hypertension presented at varied time after suffering. Longer duration of follow - up, as well as individual management were suggested, in some circumstances, cyclopexy is not absolutely required.
出处
《眼外伤职业眼病杂志》
2010年第2期98-100,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
睫状体断离
外伤性
青光眼
继发性
临床特征
治疗
cyclodialysis, traumatic
glaucoma, secondary
clinical features
management
