Glaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA; Poostchi Ophthalmology Research center, Shiraz University of Medical Sciences, Shiraz, Iran.
Glaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA; Glaucoma Service, Massachusetts Eye and Ear, Harvard University, Boston, Massachusetts, USA.
Surv Ophthalmol. 2020 Sep-Oct;65(5):530-547. doi: 10.1016/j.survophthal.2020.02.003. Epub 2020 Feb 11.
Ocular trauma is a significant cause of blindness worldwide, particularly if associated with glaucoma. Direct damage from blunt or penetrating trauma, bleeding, inflammation, lens-related problems, orbital and brain vascular pathologies related to trauma, and chemical injuries may increase intraocular pressure and lead to traumatic glaucoma. Treatment may be as simple as eliminating the underlying cause in some conditions or management can be challenging, depending on the mechanism of damage. If proper management is not undertaken, visual outcomes can be poor. We discuss a broad spectrum of trauma-related mechanisms of intraocular pressure elevation, as well as their management.
眼外伤是全球失明的一个重要原因,尤其是与青光眼相关的眼外伤。钝挫伤或穿透伤、出血、炎症、晶状体相关问题、与外伤相关的眼眶和脑部血管病变以及化学伤等直接损伤,都可能导致眼内压升高,进而引发外伤性青光眼。在某些情况下,消除潜在病因可能就足够简单,但在某些情况下,治疗可能颇具挑战性,具体取决于损伤机制。如果未进行适当的治疗,视力预后可能较差。我们讨论了一系列与眼内压升高相关的创伤机制及其处理方法。