Alam Mumtaz, Iqbal Mustafa, Khan Akbar, Khan Sher Akbar
Department of Ophthalmology, Khyber Teaching Hospital, Peshawar.
J Pak Med Assoc. 2012 Feb;62(2):138-42.
To study the type and severity of ocular injuries in blast victims.
It was a descriptive case series. The study was conducted at the Department of Ophthalmology, Khyber Teaching Hospital and Iqbal Eye Clinic Peshawar from March 2010 to May 2011. Detailed history was taken and complete ocular examination was done. B-scan was done to know about any posterior segment pathology (when required). Digital X-ray orbit and/or computed tomography were done to rule out intraocular foreign body. The treatment and follow up varied according to the type and extent of eye injury.
Total number of patients were 79, 78 (98.73%) males and 1 (1.26%) female. Mean age of patients was 23.43 +/- 10.67 years. Ocular injury was unilateral in 50 (63.29%) and bilateral in 29 (36.70%) patients. Forty-one (37.96%) eyes had closed globe injury and 67 (62.03%) had open globe injury. The most common type of injury was corneal/scleral perforation (48.14%) followed by vitreous haemorrhage (38.88%) and traumatic cataract (30.55%). The most commonly performed surgery was corneal/scleral repair (in 33 eyes). Final best corrected visual acuity (BCVA) improved in 56 (51.85%) eyes, remained unchanged in 49 (45.37%) eyes and worsened in 03 (2.77%) eyes.
Blast related ocular injuries are becoming increasingly common. In severely injured eyes the visual prognosis remains poor despite development of advanced microsurgical techniques and better methods of visual rehabilitation.
研究爆炸伤患者眼部损伤的类型及严重程度。
这是一个描述性病例系列研究。研究于2010年3月至2011年5月在白沙瓦开伯尔教学医院眼科及伊克巴尔眼科诊所进行。详细询问病史并进行全面的眼部检查。必要时进行B超检查以了解眼后段病变情况。进行数字X线眼眶检查和/或计算机断层扫描以排除眼内异物。治疗及随访根据眼损伤的类型和程度而异。
患者总数为79例，其中男性78例（98.73%），女性1例（1.26%）。患者平均年龄为23.43±10.67岁。50例（63.29%）患者为单眼损伤，29例（36.70%）患者为双眼损伤。41只眼（37.96%）为闭合性眼球损伤，67只眼（62.03%）为开放性眼球损伤。最常见的损伤类型是角膜/巩膜穿孔（48.14%），其次是玻璃体积血（38.88%）和外伤性白内障（30.55%）。最常进行的手术是角膜/巩膜修复（33只眼）。最终最佳矫正视力（BCVA）在56只眼（51.85%）中有所提高，在49只眼（45.37%）中保持不变，在3只眼（2.77%）中恶化。
爆炸相关的眼部损伤越来越常见。尽管先进的显微手术技术和更好的视力康复方法不断发展，但严重受伤眼睛的视力预后仍然很差。
