Boozalis G T, Purdue G F, Hunt J L, McCulley J P
Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas 75235-9057.
J Burn Care Rehabil. 1991 Sep-Oct;12(5):458-62. doi: 10.1097/00004630-199109000-00012.
One hundred fifty-nine consecutive patients with high-voltage burns were retrospectively reviewed to determine the ocular sequelae of these injuries. Five patients had ophthalmic changes (two had recurrent iritis, eight had cataracts, two had macular holes, and one had central retinal artery occlusion). All four patients with cataractous changes had characteristic anterior subcapsular opacifications, except for one patient who presented with a dense white opacified lens. All had bilateral lenticular changes in which the denser cataract developed earlier than the contact wound and ipsilateral to it. Central retinal artery occlusion has not been previously reported as a complication of electrical burns. Macular holes, formerly believed to be rare in these injuries, were found in two of the five patients. Ocular complications from electrical burn injuries are uncommon. Although a number of these ocular changes occur immediately after injury, many of the visually impairing changes develop days and even years after a severe electrical burn injury; thus, careful follow-up is mandated.
对159例连续性高压烧伤患者进行回顾性研究，以确定这些损伤的眼部后遗症。5例患者出现眼部改变（2例复发性虹膜炎、8例白内障、2例黄斑裂孔、1例视网膜中央动脉阻塞）。所有4例有白内障改变的患者均有典型的前囊下混浊，除1例表现为致密的白色混浊晶状体。所有患者均有双侧晶状体改变，其中较致密的白内障比接触伤更早出现且与其同侧。视网膜中央动脉阻塞此前未被报道为电烧伤的并发症。黄斑裂孔以前认为在这些损伤中很少见，在5例患者中有2例发现。电烧伤的眼部并发症并不常见。虽然许多这些眼部改变在受伤后立即出现，但许多导致视力损害的改变在严重电烧伤后数天甚至数年才出现；因此，必须进行仔细的随访。
