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伴有眼内异物存留的穿透性眼外伤的手术治疗

Surgical treatment of penetrating ocular injuries with retained intraocular foreign bodies.

作者信息

Tomic Z, Pavlovic S, Latinovic S

机构信息

Department of Ophthalmology, University Hospital, Uppsala, Sweden.

出版信息

Eur J Ophthalmol. 1996 Jul-Sep;6(3):322-6. doi: 10.1177/112067219600600317.

Abstract

A total of 40 cases of retained intraocular foreign bodies (IOFB) presenting to the University Eye Clinic of Novi Sad between January 1988 and December 1994 were evaluated and surgically treated. The group most affected were males with a mean age of 33 years, who had been occupationally injured, presenting with either corneal or scleral single laceration. Thirty-seven injuries (92%) were due to metallic foreign bodies. Two eyes presented with initial clinical signs of endophthalmitis (5%). Five eyes (12.5%) were war-injuries, with tremendous destruction of all ocular structures. After an average of 12 months follow-up 70% of total eyes achieved postoperative good or useful vision, 50% of these with visual acuity 0.5 or better.

摘要

1988年1月至1994年12月期间,共有40例眼内异物残留患者在诺维萨德大学眼科诊所接受评估和手术治疗。受影响最严重的群体是平均年龄33岁的男性,他们因职业受伤,表现为角膜或巩膜单一裂伤。37例损伤(92%)是由金属异物造成的。2只眼出现了眼内炎的初始临床症状(5%)。5只眼(12.5%)是战争伤,所有眼结构均遭到巨大破坏。经过平均12个月的随访,70%的患眼术后视力达到良好或有用水平,其中50%的患眼视力为0.5或更好。

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