职业性角膜灼伤临床分析

目的探讨职业性角膜灼伤特点及治疗效果。方法回顾性分析我院附近工厂因角膜灼伤就诊我科门诊及住院75例（85眼），根据角膜损害范围及深度，采取局部滴眼液、单层羊膜覆盖或羊膜填塞覆盖等不同治疗措施，治疗后随访6月。结果伤后角膜愈合及视力恢复与角膜灼伤累及的深度关系密切：灼伤仅累及角膜上皮及基质浅层者，角膜及视力恢复良好；灼伤累及角膜基质深层，即使积极进行手术，术后部分患者仍出现角膜溶解，甚至眼球摘除，角膜愈合及视力恢复不理想。结论工厂的角膜灼伤伤情严重，总体治疗效果欠佳；重在预防，有必要对生产各个环节进行监督及管理。

Clinical analysis of occupational corneal burns

Objective To study the characteristics and treatment of occupational corneal burns. Methods 85 eyes of 75 patients with corneal bums were analyzed retrospectively. The treatment included topical eye drops, single layer amnion covering or amniotic tamponade according to the scope and depth of corneal injury. All the patients were followed up for 6 months after treatment. Results Corneal healing and visual recovery after injury had close relationship with corneal bums depth： the cornea and vision recovered well when burns involved superficial cornea only; Corneal healing and vision recovery were bad when burns involved deep cornea. In which corneal melt occurred and enucleation of eyeball were perfermed in some cases even after active operation had done. Conclusion Occupational corneal burns in factory is severe and the efficacy of treatment is poor; Prevention is important and it is necessary to supervise and manage all production links.