摘要
目的 探讨隐匿性巩膜破裂伤的诊断要点及手术方法。方法 回顾分析了 13例隐匿性巩膜破裂伤的临床资料。结果 视力进步 5眼 (38 5 % ) ,除 1眼二期行眼球摘除外 ,其余12眼眼球得以保留 ,为以后争取复明提供了机会。结论 视力光感以下、球结膜水肿、结膜下大量出血、眼压低及前房积血为隐匿性巩膜破裂伤的诊断依据。眼球运动某一方向受限、眼球塌陷变形及角膜横形皱纹对诊断有重要的参考价值。对疑有巩膜破裂的患者早期行手术探查是避免漏诊和误诊的关键。视力无光感已不再作为眼球摘除的唯一指征。
To investigate the diagnosis and operation of latent sclreal rupture. Methods The clinic data of 13 cases of latent scleral rupure were analysed. Results Visual acuity impoved in 5 eyes (38.5%),unless one was enucleated because of atrophy of eyeball.The retained 12 eyeballs had futher oportunity of recovery of visual acuity. Conclusion Visual acuity below light sense,bulbar conjunctival edema,subconjunctival hemorrhage,hypotension and hyphema are the basis of diagnosis.Ristriction of eye movement,deformity of eyeball,corneal horizontal wrinkles are valuable to make a diagnosis.To have operation without delay when it’s doubtful that there’s a latent sclerel rupture Without light sense is no more the only factor of making enucleation.
出处
《眼外伤职业眼病杂志》
北大核心
2000年第6期637-638,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
