眼前段OCT在眼球穿孔伤术后的运用

目的评估眼前段OCT在眼球穿孔伤术后的应用价值。方法连续收集我院所收治的眼球穿孔伤36例（36眼），术后进行眼前段裂隙灯显微镜检查，观察分析角膜，前房角等组织结构的变化。结果眼前段OCT显示出：21眼角膜水肿浑浊，实质层结构紊乱，表面不规则；5眼房角撕裂，12眼房角粘连关闭；8眼虹膜粘连于伤口；2眼晶状体前囊破裂，皮质溢出；3眼睫状体浅脱离。结论眼前段OCT对眼球穿孔伤术后评估眼球损伤程度，预后恢复等有较好的临床应用价值。

The application of ocular anterior segment optical coherence tomography after operation of ocular penetraing injury

Objective To evaluat the application of anterior segment optical coherence tomography (ASOCT) in the imaging of postoperative ocular penetrating injuries. Methods Thirty-six successive cases (36 eyes) with ocular penetrating injury in our hospital were examined by ASOCT after surgery to observe and analyze stuctural changes of cornea and anterior chamber angle by anterior segment biomicroscopy. Results The results of ASOCT showed that swollen and cloudy corneas with disordered stroma and irregular surfaces in 21 eyes, lacerated chamber angles in 5 eyes, synechial and closed chamber angles in 12 eyes, iris adhered to the wounds in 8 eyes, broken anterior lens capsules and overflowed cortices in 12 eyes and shallow cyclodialyses in 3 eyes. Conclusion ASOCT has good clinical value in evaluating injury degree in postoperative penetrating injury eyeballs and predicating the prognosis for recovery.