摘要
目的:探讨眼球穿通伤在显微镜下手术的处理原则、方法及显微手术的优点。方法:对75例(77眼)眼球穿通伤病例进行回顾性分析。结果:眼球穿通伤以儿童、学生、青壮年为多,常见的致伤物为刀、剪、针及铁器伤;常见的受伤部位是角膜,角巩膜;常见的并发症是:虹膜脱出、外伤性白内障和前房、玻璃体积血。本组病例非手术治疗6眼(8%),手术治疗71眼(92%)。结论:精细的显微手术避免了以往肉眼术式的缺点,从而提高了手术成功率,降低了患者的致盲率。
AIM: To discuss the management principle and methods for eye penetrating injury in microsurgery as well as its merit.· MEHTODS: A total of 75 cases (77 eyes) of eye penetrating injury were analyzed restrospectively.· RESULTS: Eye penetrating injury occurred often to children, students and young people. Traumatic appliance included knife, scissors, needle and ironware. Injured sites were often cornea and sclera. The common complications included iris prolapse, traumatic cataract hyphema and vitreous hemorrhage. Among these cases 6 eyes (7.79%) were treated with non-operation, and the other 71 eyes (92.21%) with operation.· CONCLUSION: Shortages of naked eye operation can be avoided by meticulous microsurgery, thus success rate of operation can be raised and patients' blind rate can be reduced.·
出处
《国际眼科杂志》
CAS
2004年第2期352-353,共2页
International Eye Science
