电光性眼炎38例临床报告

目的 分析电光性眼炎的常见病因,探讨眼科急诊对于电光性眼炎的诊治.方法 搜集我院眼科夜间急诊电光性眼炎38例,对其发病诱因和发病时限等指标进行分析,并对治疗措施进行总结.结果 38例电光性眼炎中男32例（84.21%）,女6例（15.79%）.平均（37.00±4.31）岁.发病时限为3～10（7.00±2.12）h,主要致病因素为电焊光照射32例（84.21%）,家庭紫外灯消毒4例（10.53%）,医院紫外灯消毒1例（2.63%）,观看日食1例（2.63%）,主要症状及体征是畏光、流泪、视物模糊、眼痛、混合充血或伴有结膜水肿、角膜上皮粗糙或部分剥脱.经过0.40%盐酸奥布卡因（倍诺喜,benoxil）紧急滴眼后（10.00±3.54）min症状明显缓解,再给予重组牛碱性成纤维细胞生长因子（贝复舒）、氧氟沙星眼膏（迪可罗）等对症治疗并预防感染.结论 电光性眼炎的患者中男性居多,主要致病因素为电焊光照射,其主要临床表现为角膜刺激症状,治疗上积极采取对症治疗缓解症状、促进角膜上皮恢复,同时预防感染.

Report of 38 cases of electric ophthalmia

Objective Analyze the common cause of electric ophthalmia,explore the diagnosis and treatment for the electric ophthalmia at ophthalmology emergency room. Methods Collecting 38 patients with electric ophthalmia those admitted to the emergency room at night in our hospital, Its predisposing factors and morbidity indicators of time limits,and treatment measures were summarized. Results Thirty-two cases of electirc ophthalmia were male patients (84.21%) and 6 ( 15.79% ) female patients,average age was (37 ±4. 31 ) years,onset time was 3 - 10 (7 ±2. 12) hours. The main risk factor was welding rays (32 cases 84.21% ) ,family ultraviolet light disinfection 4 cases ( 10.53% ), UV light disinfection in hospital 1 case (2.63%) ,watch the solar eclipse 1 case (2.63%) ,the main symptoms and signs are photophobia,lacrimation, blurred vision, eye pain, conjunctival congestion, or accompanied by mixed conjunctival edema, corneal epithelial rough or part of corneal epithelial layer stripping. Symptoms were relieved ( 10 ± 3. 54) min after oxybuprocaine hydrochoride eye dropped, then given recombinant bovine basic fibroblast growth factor (b-FGF) in eye drop form, oxygen difloxacin ointment and other symptomatic treatment and prevention of infection. Conclusion The patients of Electric ophthalmia are mostly male, the main risk factor is the welding of light irradiation, the main clinical manifectations is corneal irritation, treatment should be actively relieve symptoms and promote recovery of corneal epithelium together prevent infection.