眼外伤所致继发性青光眼临床分析

目的:探讨眼外伤的发生、治疗、转归以及眼外伤继发青光眼的发生、治疗及预后。方法:对305例眼外伤患者的致病因素、外伤部位、外伤类型进行分析,并对眼外伤患者进行随访,分析眼外伤继发青光眼的发生率。通过对眼外伤继发青光眼的药物及手术治疗,分析继发性青光眼的预后。结果:眼外伤部位、类型与眼外伤个体病因有关,病因以异物致伤最常见,外伤类型以角膜、巩膜穿孔伤最常见;眼外伤患者经治疗后视力均有不同程度的好转;眼外伤治疗后继发性青光眼的发生率高(10.82%),经药物和手术治疗,患者眼压均有不同程度的下降。结论:眼外伤病因、类型多样,应根据患者情况进行个体化治疗。对于存在易引起眼外伤的职业应该加强职业保护,做好眼防护。眼外伤治疗后继发性青光眼的发生率高,应尽早检查诊治以减少远期视力损害。

Clinical analysis of secondary glaucoma associated with ocular trauma

·AIM:To explore the occurrence,therapy,prognosis of secondary glaucoma associated with ocular trauma.·METHODS:Totally 305 patients with ocular trauma were collected and followed up.Cause of disease,ocular trauma position and the type of ocular trauma were analyzed.Incidence of secondary glaucoma associated with ocular trauma was analyzed.After treatment with drug and operation,the prognosis of secondary glaucoma associated with ocular trauma was observed.·RESULTS:Ocular trauma position and the type of ocular trauma of patient diversed from each other.Common cause of this diseased was foreign bodies wound.Common type was cornea and sclera perforating injury.The eyesight improved in various degree after treatment.The incident of secondary glaucoma associated with ocular trauma was high(10.82%).After treatment with drug and operation,intraocular pressure of patient with secondary glaucoma associated with ocular trauma decreased in various degree.·CONCLUSION:Cause of disease and type of ocular trauma present diversity.The protection of the eyes is important in the career with easy cause of ocular trauma.The incidence of secondary glaucoma associated with ocular trauma was high(10.82%).The examination and therapy may decrease the damage of eyesight in future.·