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疑似眼外伤或眼球破裂的处理

Management of suspected ocular laceration or rupture.

作者信息

Kylstra J A

机构信息

Massachusetts Eye and Ear Infirmary, Boston.

出版信息

Can J Ophthalmol. 1991 Jun;26(4):224-8.

PMID:1889026
Abstract

The records of 95 consecutive patients with suspected ocular laceration or rupture managed by a single surgeon were reviewed. A total of 86 patients were found to have a laceration or rupture, of whom 79 were followed up, for an average of 6.4 months. In 32 eyes (40%) the final visual acuity was 20/40 or better, and in another 32 the final acuity was less than 5/200. Eyes with lacerations had a better visual outcome than those with rupture due to blunt trauma. Of the 26 eyes operated on for suspected blunt rupture 6 (23%) were found not to have a rupture. Ruptured eyes were more likely than nonruptured eyes to have abnormal anterior chamber depth, vision less than hand motion and hyphema.

摘要

回顾了由一名外科医生处理的95例疑似眼裂伤或破裂患者的记录。共发现86例患者有裂伤或破裂,其中79例进行了随访,平均随访6.4个月。32只眼(40%)的最终视力为20/40或更好,另有32只眼的最终视力低于5/200。裂伤眼的视觉预后优于钝挫伤导致的破裂眼。在因疑似钝性破裂而接受手术的26只眼中,有6只(23%)未发现破裂。破裂眼比未破裂眼更易出现前房深度异常、视力低于手动及前房积血。

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