摘要
目的提高钝挫伤前房积血的诊病水平。方法对５６例病人（５６只眼）进行了治疗及回顾性研究。结果２０～２９岁为最易致伤年龄段人群；外伤性散瞳发生率居内眼并发症第１位；外伤性虹膜睫状体炎可能被掩盖；房角受损伤者超过１１％；继发前房出血病人与未继发出血者的视力预后间无显著性差异；伤及眼后节病人的视力愈后差，一般小于０．３。结论继发前房出血可能不会影响视力愈后，而真正有较大影响的是后节的病损；钝挫伤前房积血的发生不是孤立的。
ObjectiveTo improve the diagnosis and treatment of blunt traumatic hyphema.MethodsA retrospective study of 56 cases(56 eyes) was performed.ResultsThe highest incidence of blunt traumatic hyphema occurred in patients ranging in age from 20～29.Traumatic mydriasis was the commonest sign in the intraocular injuries.Traumatic iridocyclitis may be concealed.The eyes with injuries to the anterior chamber angle were more than 11%;secondary hyphema occurred in 9% of cases,and was not associated with a worsening of visual acuity.Visual acuity of patients with posterior segment injuries was poor,and generally was less than 0.3.ConclusionSecondary hyphema may not worsen visual prognosis,but injuries to the posterior segment contribute to poor visual acuity.Secondary hyphema usually coexists with other intraocular injuries.
出处
《眼科研究》
CSCD
1999年第1期61-63,共3页
Chinese Ophthalmic Research
