摘要
1目的 观察严重眼前节病变对眼后节组织病理学变化的影响。 2方法 1980年 2月～ 1992年 8月 ,本病理研究室收到因严重眼前节病变视功能丧失而行眼球摘除的 89例 89眼标本 ,行连续切片 ,在光学显微镜下复习其前节的病理改变 ,并重点观察眼后节的病理变化 ,其中角膜溃疡 36例 ,角膜溃疡穿孔 49例 ,角膜移植术后感染 2例 ,老年性白内障囊内摘除术后及小梁切除术后感染各 1例。 3结果 在 85例角膜疾病病人中 ,脉络膜有急、慢性炎症者 2 2例 ,脉络膜脱离者 2 3例 ,脉络膜上腔积液 13例 ,积血 10例。视网膜脱离 42例 ,视网膜水肿 34例 ,视网膜炎及血管周围炎 2 3例 ,视网膜出血 9例。视盘水肿 12例 ,视神经炎及血管周围炎 2 0例。玻璃体积血 6例 ,玻璃体渗出物蓄积 7例 ,玻璃体积脓 2例 ,纤维带形成 2例。 4例眼前节术后感染病例亦有同样变化。 4结论严重眼前节疾病可以导致严重眼后节的病理变化 ,临床治疗中应引起重视。
Objective\ In order to observe the histopathologic changes of posterior segment of eyes reduced by serious anterior segment diseases.\ Methods\ 89 eyeballs extirpated from 89 patients with lost visual function due to serious anterior segment disease were collected by our ocular pathology department from 1980.2-1992.8. The pathologic changes were observed under light microscope. There were 36 cases of cornea ulcer, 49 cases of cornea perforation, 2 cases of inflammation after keratoplasty, 1 case of inflammation each after incapsule extraction of senile cataract and excision of trabecular mesh work.\ Results\ Among the 85 specimens of cornea diseases, 22 cases showed acute and chronic inflammation of choroid, 23 cases the detachment of choroid, 13 cases liquid storage and 10 cases hemorrhage in supra of choridea. There were retina detachment in 42 cases, retinal edema in 34 cases, perivasculitis of retina in 23 cases and hemorrhage of retina in 9 cases. There were papilledema in 12 cases, optic neuritis and perivasculitis of optic nervus in 20 cases. In addition, the exudate of vitreous body in 7 cases, vitreous hemorrhage in 6 cases and pura retained in 2 cases and fibroplasia of vitreous body in 2 cases. The same pathologic changes also were found in the 4 cases of inflammation after anterior segment operation.\ Conclusion\ The serious pathologic changes of posterior segment may be caused by grave disorder of anterior segment and should bring great attention in the clinical practice. [
出处
《青岛大学医学院学报》
CAS
2000年第1期5-8,共4页
Acta Academiae Medicinae Qingdao Universitatis
