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隐匿性巩膜破裂伤的临床分析(附10例临床报告)
引用本文:谭业双,许玲,王玲丽,芦晓磊,张郧芳.隐匿性巩膜破裂伤的临床分析(附10例临床报告)[J].眼外伤职业眼病杂志,2004,26(9):602-603.
作者姓名:谭业双  许玲  王玲丽  芦晓磊  张郧芳
作者单位:郧阳医学院附属太和医院,湖北,十堰,442000
摘    要:目的 探讨隐匿巩膜破裂伤的诊断要点及手术方式。方法 回顾分析了10例隐匿性巩膜破裂伤临床资料。结果 手术后视力提高3例,保持眼球形态6例。结论 眼挫伤后低眼压或形态改变要排除巩膜破裂。影像检查有参考价值。疑有后部巩膜破裂时应及早进行手术探查,是避免漏诊或误诊的关键。

关 键 词:巩膜  破裂  隐匿性

Clinical analysis on occult scleral rupture
TAN Ye-shuang,XU Ling,WANG Lin-li,et al..Clinical analysis on occult scleral rupture[J].Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries,2004,26(9):602-603.
Authors:TAN Ye-shuang  XU Ling  WANG Lin-li  
Institution:TAN Ye-shuang,XU Ling,WANG Lin-li,et al.Department of Ophthalmology,Affiliated Taihe Hospital of Yunyang Medical College,Shiyan,Hubei 442000,China
Abstract:Objective To discuss the diagnosis and operation methods of occult scleral rupture.Methods The clinical data of 10 cases of occult scleral rupture were analysed.Results Visual acuity improved in 3 eyes,normal external appearances remained in 6 eyes.Conclusion Visual acuity below light perception,bulbar conjunctival edema and subconjunctival hemorrhage,hypotension,hyphema,restriction of eye movement are the basis of diagnosis.Deformity of eyeball are great valuable to make a diagnosis.Unltrsonic B scan,CT,MRI have some value.To doubtful patients,in time surgery is important.
Keywords:sclera  rupture  occult
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